DR. LARRY JOHNSON ELLISON DDS
NPI 1235236217
Dentist - Endodontics in Omaha, NE
About Dr. Larry Johnson Ellison Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LARRY JOHNSON ELLISON DDS (NPI 1235236217) is an individual endodontics provider in Omaha, Nebraska, licensed in Nebraska (5949) and active in the NPI registry since September 2006. He has opted out of Medicare through July 28, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Larry Johnson Ellison Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2015 through July 28, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Larry Ellison's NPI number?
The NPI number for Larry Ellison is 1235236217. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Larry Ellison located?
Larry Ellison practices at 615 N 90th St, Omaha, NE 68114. The listed phone number is (402) 393-5050.
What is Larry Ellison's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Larry Ellison enrolled in Medicare?
No. Larry Ellison has opted out of Medicare through July 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Larry Ellison was last updated on August 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.
