OrganizationActive
Carl Richard Ellis DPM
NPI 1992985782 · Podiatrist · Crestview, FL
Carl Richard Ellis DPM is a Podiatrist organization in Crestview, FL (NPI 1992985782).
Provider details
- NPI number
- 1992985782
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Carl Ellis, Owner(850) 682-1778
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
416 Juniper Dr
Crestview, FL 32536-9223
Phone: (850) 682-1778
Street-level locationGet directions
Mailing address
416 Juniper Dr
Crestview, FL 32536-9223
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2011-09-14
Frequently asked questions
- What is Carl Richard Ellis DPM's NPI number?
- Carl Richard Ellis DPM's National Provider Identifier (NPI) is 1992985782, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carl Richard Ellis DPM?
- Carl Richard Ellis DPM is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Carl Richard Ellis DPM located?
- Carl Richard Ellis DPM's practice location on file with NPPES is 416 Juniper Dr, Crestview, FL 32536-9223.
- What is Carl Richard Ellis DPM's phone number?
- The practice phone number listed in the NPPES registry for Carl Richard Ellis DPM is (850) 682-1778.
- Who is the authorized official for Carl Richard Ellis DPM?
- The authorized official listed on Carl Richard Ellis DPM's NPPES record is Carl Ellis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carl Richard Ellis DPM's NPI active?
- Yes — Carl Richard Ellis DPM's NPI (1992985782) is active in the NPPES registry as of the last update on 2011-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.