1. Home
  2. Directory
  3. Indiana
  4. Greenwood
  5. Dentist
  6. NPI Profile

DR. MARK ALLEN ELLIS DDS
NPI 1184719262
Dentist - Pediatric Dentistry in Greenwood, IN

Active since October 04, 2006
910 AVERITT RD, GREENWOOD, IN 46143(317) 859-9450(317) 859-9475 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Allen Ellis Dds NPPES

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

DR. MARK ALLEN ELLIS DDS (NPI 1184719262) is an individual pediatric dentistry provider in Greenwood, Indiana, licensed in Indiana (12010547A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184719262
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARK ALLEN ELLISCredential: DDS
Location Address910 AVERITT RDGreenwood, IN 46143-9540
Mailing Address910 Averitt RdGreenwood, IN 46143-9540 · (317) 859-9450 · Fax (317) 859-9475
Phone(317) 859-9450
Fax(317) 859-9475
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateDecember 13, 2018
✔ NPI 1184719262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12010547A
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.
910 AVERITT RD, Greenwood, IN 46143
Open in Google Maps ↗

Other Identifiers 1

Medicaid200500300IN

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

ELLIS PEDIATRIC DENTISTRY
Dentist (Pediatric Dentistry)
910 AVERITT RD
GREENWOOD, IN 46143
Johnson County (317) 859-9450

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 Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1184719262. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Mark Ellis located?

Mark Ellis practices at 910 Averitt Rd, Greenwood, IN 46143. The listed phone number is (317) 859-9450.

What is Mark Ellis's specialty?

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

What insurance does Mark Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 2 other insurers list Mark 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 Mark Ellis was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.