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DR. CORBET KEVIN ELLISON DDS
NPI 1699730895
Dentist - Pediatric Dentistry in Pearland, TX

Active since April 19, 2006
11233 SHADOW CREEK PKWY STE 120, PEARLAND, TX 77584(281) 741-5247(281) 741-5354 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Corbet Kevin Ellison Dds NPPES

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

DR. CORBET KEVIN ELLISON DDS (NPI 1699730895) is an individual pediatric dentistry provider in Pearland, Texas, licensed in Texas (23589) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1699730895
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. CORBET KEVIN ELLISONCredential: DDS
Location Address11233 SHADOW CREEK PKWY STE 120Pearland, TX 77584-7345
Mailing Address1304 Dart St Apt AHouston, TX 77007-6243 · (281) 725-0103
Phone(281) 741-5247
Fax(281) 741-5354
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateOctober 10, 2011
✔ NPI 1699730895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in TX · 23589✔ Licensed in DC · DEN1000288
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.
11233 SHADOW CREEK PKWY STE 120, Pearland, TX 77584
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Other Identifiers 1

Medicaid188083306TX

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 Corbet Ellison's NPI number?

The NPI number for Corbet Ellison is 1699730895. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Corbet Ellison located?

Corbet Ellison practices at 11233 Shadow Creek Pkwy Ste 120, Pearland, TX 77584. The listed phone number is (281) 741-5247.

What is Corbet Ellison's specialty?

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

What insurance does Corbet Ellison accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Corbet 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 Corbet Ellison was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.