Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Ellis, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790349769

Dr. David Ellis, DPM is a Podiatry in Reno, Nevada. Qualified in 2019, 7 years ago. Practices with Dr David Ellis DPM LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

10463 Double R Blvd
Reno, NV 89521-5866
Phone: (775) 358-2542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20000 N 57th Ave Rm K201, Glendale, AZ 85308-6988 — (801) 227-9397

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2082 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790349769
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESAugust 10, 2022
Certification dateAugust 4, 2022
Mailing address10463 Double R Blvd, Reno, NV 89521-5866

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dr David Ellis Dpm Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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