# DR. DAVID ELLIS DPM LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt Rose Foot & Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689418089
- **Authorized official:** DAVID ELLIS DPM (DPM, OWNER)
- **Authorized official phone:** (775) 358-2542

## Contact information

- **Practice address:** 10443 DOUBLE R BLVD \# 100, RENO, NV 89521-8905
- **Practice address phone:** (775) 358-2542
- **Practice address fax:** (775) 358-1413
- **Mailing address:** 10443 DOUBLE R BLVD \# 100, RENO, NV 89521-8905
- **Mailing address phone:** (775) 358-2542
- **Mailing address fax:** (775) 358-1413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2024
- **Last updated:** 06/20/2024