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Larry Johnson Ellison, DDS

NPI 1235236217ActiveIndividual· Dentist, Endodontics· Omaha, NE

Opted out of Medicare from July 2015 to July 2027. Dentist, Endodontics (DDS) in Omaha, Nebraska, licensed in NE, with an NPI issued in September 2006.

Overview

NPI1235236217
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedSep 20, 2006
Last updated in NPPESAug 28, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Endodontics Primary1223E0200X5949NE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 28, 2015 – Jul 28, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other endodontists in Omaha

All 24 endodontists in Omaha · All endodontists in Nebraska