JUSTIN KADE ELLIS (NPI# 1356803712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356803712 |
| Entity Type | Individual |
| Full Name | JUSTIN KADE ELLIS |
| Practice Address |
343 Franklin Rd Ste 103 Brentwood TN 37027 |
| Mailing Address |
343 Franklin Rd Ste 103 Brentwood TN 37027-5250 |
| Practice Telephone | 6153431313 |
| Mailing Telephone | 6153431313 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10989 | TN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Florida Ave, New Orleans, LA 701192715 | 5046198700 | |
| 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 6153431313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748138 | Justin Geoffrey Ellis | Counselor | 6003 Brook Forest Dr, Arlington, TX 76018-5320 | 2020-07-27 |
| 1275181836 | Justin James Ellis | Pharmacist | 1625 N 44th St, Phoenix, AZ 85008-4114 | 2019-08-27 |
| 1588192868 | Justin Ryan Ellis | Dentist | 215 Oak St, Livingston, TN 38570-1726 | 2017-05-31 |
| 1326570953 | Justin Kyle Ellis | Student in an Organized Health Care Education/Training Program | 12 Executive Park Dr Ne, Suite 331, Atlanta, GA 30329-2206 | 2017-04-02 |
| 1972566651 | Justin D. Ellis | Physician Assistant | 1771 Tate Blvd Se, Suite 201, Hickory, NC 28602-4249 | 2006-04-11 |
| Street Address |
343 FRANKLIN RD STE 103 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| 1730600503 | Virginia Poag | Social Worker | 1604 Westagte Circle, Ste 250, Brentwood, TN 37027 | 2017-07-03 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330342 | Patrick Michael Glisczinski | Dentist | 330 Franklin Rd Ste 230b, Brentwood, TN 37027-3210 | 2020-06-12 |
| 1700418068 | Jolly and Morton Advanced Dentistry | Dentist | 785 Old Hickory Blvd Ste 100, Brentwood, TN 37027-4512 | 2020-02-05 |
| 1831658012 | Soh of Tennessee Pllc | Dentist | 317 Seven Springs Way Ste 204, Brentwood, TN 37027-4991 | 2019-03-18 |
| 1215422779 | Ashton Wright Glasscock | Dentist | 5409 Maryland Way Ste 210, Brentwood, TN 37027-5068 | 2018-06-27 |
| 1912417049 | Noesis Dental Pllc | Dentist | 1195 Old Hickory Blvd Ste 205, Brentwood, TN 37027-4239 | 2017-10-03 |
| 1760991657 | Trieu Ton Dental, PC | Dentist | 6471 Lone Tree Way Ste 301, Brentwood, CA 94513-5265 | 2017-09-25 |
| 1437671013 | Brentwood Dental Studio, Pllc | Dentist | 211 Franklin Rd Ste 180, Brentwood, TN 37027-5592 | 2017-07-14 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1053852293 | Will Jones Dds Pllc | Dentist | 6716 Nolensville Rd, Suite 120, Brentwood, TN 37027-8864 | 2017-03-20 |
| 1225494180 | Raquel Lisbet Lopez | Dentist | 1247 Suffolk Ave Ste 2, Brentwood, NY 11717-4518 | 2016-01-07 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.