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CARL RICHARD ELLIS DPM
NPI 1992985782
Podiatrist in Crestview, FL

Active since November 08, 2007
416 JUNIPER DR, CRESTVIEW, FL 32536(850) 682-1778 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Richard Ellis Dpm NPPES

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

CARL RICHARD ELLIS DPM (NPI 1992985782) is a healthcare organization registered as a podiatrist in Crestview, Florida and active in the NPI registry since November 2007. The organization lists Carl Richard Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1992985782
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCARL RICHARD ELLIS DPM
Location Address416 JUNIPER DRCrestview, FL 32536-9223
Mailing Address416 Juniper DrCrestview, FL 32536-9223 · (850) 682-1778
Phone(850) 682-1778
Organization SubpartNo
Authorized OfficialCarl Richard EllisOwner · (850) 682-1778
Enumeration DateNovember 8, 2007
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1992985782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
416 JUNIPER DR, Crestview, FL 32536
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Other Identifiers 1

Medicare NSC3899620001

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Carl Richard Ellis Dpm's NPI number?

The NPI number for Carl Richard Ellis Dpm is 1992985782. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Carl Richard Ellis Dpm located?

Carl Richard Ellis Dpm is located at 416 Juniper Dr, Crestview, FL 32536. The listed phone number is (850) 682-1778.

What is Carl Richard Ellis Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Carl Richard Ellis Dpm was last updated on September 14, 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.