DR. STACY BRIAN ELLISON D.M.D.
NPI 1093843484
Dentist - General Practice in Louisville, KY

Q: What is Stacy Ellison's NPI number?

The NPI number for Stacy Ellison is 1093843484. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Stacy Ellison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Ellison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 28, 2007

2831 S HURSTBOURNE PKWY, LOUISVILLE, KY 40220(502) 491-0330(502) 491-7431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Stacy Brian Ellison D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY BRIAN ELLISON D.M.D. (NPI 1093843484) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (5989) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093843484

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. STACY BRIAN ELLISONCredential: D.M.D.

Location Address2831 S HURSTBOURNE PKWYLouisville, KY 40220-4112

Mailing Address2831 S Hurstbourne PkwyLouisville, KY 40220-4112 · (502) 491-0330 · Fax (502) 491-7431

Phone(502) 491-0330

Fax(502) 491-7431

Sole ProprietorYes

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093843484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 5989

Definition

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.

2831 S HURSTBOURNE PKWY, Louisville, KY 40220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHEYANNE MICHELLE RUSH BCBA, LBA

Behavior Analyst

2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220

Jefferson County (502) 915-8343

DENNIS A SPARKS MD INC

Family Medicine

2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220

Jefferson County (502) 491-6963

DENNIS A SPARKS M.D.

Family Medicine

2831 S HURSTBOURNE PKWY, SUITE B
LOUISVILLE, KY 40220

Jefferson County (502) 491-6963

MARY DANIELLE RESCH BCBA

Behavior Analyst

2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220

Jefferson County (502) 915-8343

KPS SUITES, LLC

Clinic/Center (Pain)

2831 S HURSTBOURNE PKWY, STE A
LOUISVILLE, KY 40220

Jefferson County (502) 995-4004

BRITTANY BRAND

Behavior Analyst

2831 S HURSTBOURNE PKWY
LOUISVILLE, KY 40220

Jefferson County (502) 915-8343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Ellison's NPI number?

The NPI number for Stacy Ellison is 1093843484. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Stacy Ellison located?

Stacy Ellison practices at 2831 S Hurstbourne Pkwy, Louisville, KY 40220. The listed phone number is (502) 491-0330.

What is Stacy Ellison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stacy Ellison accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Stacy Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Ellison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.