ERIC EDWARD ELLIS DMD
NPI 1093971749
Dentist - Pediatric Dentistry in Peoria, AZ

Q: What is Eric Ellis's NPI number?

The NPI number for Eric Ellis is 1093971749. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Q: What is Eric Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Eric Ellis was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 01, 2008

31307 N 137TH AVE, PEORIA, AZ 85383(586) 322-9041 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eric Edward Ellis Dmd NPPES

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

ERIC EDWARD ELLIS DMD (NPI 1093971749) is an individual pediatric dentistry provider in Peoria, Arizona, licensed in Arizona (7708) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1093971749

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameERIC EDWARD ELLISCredential: DMD

Location Address31307 N 137TH AVEPeoria, AZ 85383-7941

Mailing Address31307 N 137th AvePeoria, AZ 85383-7941 · (586) 322-9041

Phone(586) 322-9041

Sole ProprietorYes

Enumeration DateAugust 1, 2008

Last NPPES UpdateNovember 9, 2010

✔ NPI 1093971749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in AZ · 7708✔ Licensed in MI · 2901019386

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2901019386 (MI)

31307 N 137TH AVE, Peoria, AZ 85383

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Eric Ellis's NPI number?

The NPI number for Eric Ellis is 1093971749. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Eric Ellis located?

Eric Ellis practices at 31307 N 137th Ave, Peoria, AZ 85383. The listed phone number is (586) 322-9041.

What is Eric Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Eric Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 13 other insurers list Eric Ellis 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 Eric Ellis was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.