Doctor profile · Federal record

Dr. Mark Ellis, DDS

Pediatric Dentist · Greenwood, IN

  • NPI 1184719262
  • 20 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
910 Averitt RD
Greenwood, IN 461439540
(317) 859-9450
fax (317) 859-9475

Credentials & registration

NPPES · NUCC
NPI registered
October 2006 — 20 yrs on file
Profile last updated
December 13, 2018
Specialty taxonomy
1223P0221X — NUCC code
State license (1)
Indiana #12010547A
Medicaid
IN #200500300

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184719262. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$46
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Straumann USA LLC 2 $46.26

By nature of payment

Food and Beverage
$46

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Ellis's medical specialty?
Dr. Mark Ellis practices Pediatric Dentist in Greenwood, IN.
Where does Dr. Mark Ellis practice?
Dr. Mark Ellis practices at 910 Averitt RD, Greenwood, IN 461439540. Office phone: 3178599450.
What is Dr. Mark Ellis's NPI?
Dr. Mark Ellis's National Provider Identifier (NPI) is 1184719262, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 19, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›