DR. KEVIN JOHN ELLIS (NPI# 1477526069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477526069 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JOHN ELLIS |
| Credential | DMD |
| Practice Address |
205 34th St Suite 112 Virginia Beach VA 23451-2836 |
| Mailing Address |
1360 Little Neck Rd Virginia Beach VA 23452-4740 |
| Practice Telephone | 7574285491 |
| Practice Fax Number | 7574287663 |
| Mailing Telephone | 7576310553 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7176 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280237 | Kevin Michael Ellis | Pharmacist | 132 E Lake St, Mccall, ID 83638-3811 | 2007-05-03 |
| 1598272437 | Kevin Dayton Ellis | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-12-31 |
| 1235479080 | Kevin Ellis | Pharmacist | 127 S State Road 7, Wellington, FL 33414-4338 | 2013-02-15 |
| 1609026426 | Kevin Ellis | Case Manager/Care Coordinator | 4702 W Commercial Dr, Suite C, North Little Rock, AR 72116-7068 | 2008-09-29 |
| 1306861703 | Kevin Ellis | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2006-07-13 |
| 1578537098 | Kevin Scott Ellis | Pediatrics | 1963 Memorial Pkwy Sw, Suite 5, Huntsville, AL 35801-5036 | 2006-02-13 |
| Street Address |
205 34TH ST SUITE 112 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| 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 |
|---|---|---|---|---|
| 1639797285 | Amber Robinson Hogan | Dentist | 2100 Lynnhaven Pkwy Ste 100, Virginia Beach, VA 23456-1492 | 2020-07-09 |
| 1851914980 | Grace Choe | Dentist | 2521 N Landing Rd, Virginia Beach, VA 23456-3460 | 2020-05-23 |
| 1760043079 | Rodion Kryzhanovskiy | Dentist | 2301 General Booth Blvd Ste A, Virginia Beach, VA 23456-7755 | 2019-06-26 |
| 1700445145 | Harry Wooten Squire | Dentist | 1635 Laskin Rd, Virginia Beach, VA 23451-6113 | 2019-06-10 |
| 1902368491 | Lighthouse Dental Group, P.C. | Dentist | 2521 N Landing Rd Ste 100, Virginia Beach, VA 23456-3460 | 2019-04-03 |
| 1558831040 | Rashmi Bhatt Dds PC | Dentist | 5660 Indian River Rd Ste 114, Virginia Beach, VA 23464-5240 | 2018-11-28 |
| 1306314885 | Adrian M. Laxa, Dds, PC | Dentist | 4540 Princess Anne Rd Ste 101, Virginia Beach, VA 23462-7962 | 2018-11-02 |
| 1649747080 | Althouse Family Dentistry | Dentist | 337 Edwin Dr Ste 101, Virginia Beach, VA 23462-4560 | 2018-10-24 |
| 1346720661 | Aspen Dental of Virginia PC | Dentist | 4625 Virginia Beach Blvd, Virginia Beach, VA 23462-6795 | 2018-08-16 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
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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.