ERIC ELLIS (NPI# 1609021021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609021021 |
| Entity Type | Individual |
| Full Name | ERIC ELLIS |
| Credential | DDS PC |
| Practice Address |
4600 Fairmont Pkwy Suite 204 Pasadena TX 77504-3335 |
| Practice Telephone | 2819911361 |
| Practice Fax Number | 2819919190 |
| Mailing Telephone | 2819911361 |
| Mailing Fax Number | 2819919190 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18175 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154741692 | Eric Daniel Ellis | Specialist/Technologist | 414 Bryan St, Havertown, PA 19083-4311 | 2014-04-23 |
| 1093971749 | Eric Edward Ellis | Dentist | 31307 N 137th Ave, Peoria, AZ 85383-7941 | 2008-08-01 |
| 1215968409 | Eric Lee Ellis | Emergency Medicine | 77 Lincoln Blvd Ste 1, Lincoln, CA 95648-7422 | 2006-07-05 |
| 1396178216 | Eric D Ellis | Physical Therapist | 1031 S Roselle Rd, Schaumburg, IL 60193-3960 | 2013-08-14 |
| 1477528644 | Eric R Ellis | Specialist | 605 Glenwood Drive, Suite 200, Chattanooga, TN 37404-1130 | 2006-02-21 |
| Street Address |
4600 FAIRMONT PKWY SUITE 204 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689679 | Alnoor Malick | Allergy & Immunology | 4600 Fairmont Pkwy, Ste 107, Pasadena, TX 77504-3336 | 2005-06-16 |
| 1336686674 | Christopher Andrew Koch | Physician Assistant | 4600 Fairmont Pkwy, Suite 107, Pasadena, TX 77504-3335 | 2017-01-25 |
| 1366710386 | Rebecca Bullion Kimbrell | Physical Therapist | 4600 Fairmont Pkwy, Suite 205, Pasadena, TX 77504-3335 | 2011-12-05 |
| 1659590214 | Eric Ellis Dds PC | Dentist | 4600 Fairmont Pkwy, Suite 204, Pasadena, TX 77504-3335 | 2007-04-24 |
| 1295813301 | Allergy Clinic LLP | Allergy & Immunology | 4600 Fairmont Pkwy, Suite 107, Pasadena, TX 77504-3335 | 2006-11-02 |
| 1124037908 | Lloyd Lee Laughlin | Dentist | 4600 Fairmont Pkwy, Suite 100, Pasadena, TX 77504-3335 | 2006-08-07 |
| 1346286655 | Shannon Bell | Physician Assistant | 4600 Fairmont Pkwy, Suite 104, Pasadena, TX 77504-3335 | 2006-06-22 |
| 1376506295 | Sunil Kumar Saraf | Allergy & Immunology | 4600 Fairmont Pkwy, #107, Pasadena, TX 77504-3335 | 2006-04-11 |
| 1669477568 | David Engler | Allergy & Immunology | 4600 Fairmont Pkwy, Ste 107, Pasadena, TX 77504-3336 | 2005-06-16 |
| 1750386678 | Joseph Engler | Allergy & Immunology | 4600 Fairmont Pkwy, Ste 107, Pasadena, TX 77504-3336 | 2005-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| 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 |
|---|---|---|---|---|
| 1578197208 | Dental Land Pllc | Dentist | 2525 Southmore Ave # Site200, Pasadena, TX 77502-1451 | 2020-03-03 |
| 1346801792 | Koutchekpour & Spero, A Professional Corporation | Dentist | 900 Valley View Ave Unit 2, Pasadena, CA 91107-1976 | 2019-06-26 |
| 1912563958 | Cisneros Dentistry Pllc | Dentist | 918 W Southmore Ave Ste 115, Pasadena, TX 77502-1020 | 2019-05-15 |
| 1649737008 | Top Dental Pasadena | Dentist | 950 E Colorado Blvd Ste 201, Pasadena, CA 91106-2300 | 2019-02-21 |
| 1225512551 | Winnie Liang | Dentist | 65 N Madison Ave Ste 506, Pasadena, CA 91101-2048 | 2018-09-22 |
| 1063920015 | Pasadena Dental Smile, Pllc | Dentist | 4002 Burke Rd # 100, Pasadena, TX 77504-3451 | 2018-01-11 |
| 1508372269 | Dong-gil Kang Dds Inc | Dentist | 668 N Los Robles Ave, Pasadena, CA 91101-1004 | 2017-12-18 |
| 1962912139 | H. Robert Stender, Dds, Inc. | Dentist | 200 S El Molino Ave Ste 6, Pasadena, CA 91101-2985 | 2017-10-02 |
| 1598293250 | Chandni P. Jogani, D.d.s. | Dentist | 175 S El Molino Ave Ste 6, Pasadena, CA 91101-2564 | 2017-05-25 |
| 1053843359 | Kyle Low | Dentist | 301 S Fair Oaks Ave Ste 205, Pasadena, CA 91105-2536 | 2017-03-28 |
| Find all providers in PASADENA | ||||
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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.