Individual provider

Edious Elliot, DMD

Oral and Maxillofacial Surgery (Dentist) Anesthesiology Physician Medicare enrolled

Edious Elliot, DMD is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Manlius, NY, registered under NPI 1639434665. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 8240 CAZENOVIA RD STE 60, Manlius, NY 13104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8240 CAZENOVIA RD STE 60, Manlius, NY 13104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
22DI02507400 NJ Oral and Maxillofacial Surgery (Dentist)
DA031767 PA Anesthesiology Physician
DS040658 PA Oral and Maxillofacial Surgery (Dentist) primary

Licences are recorded in 2 states: NJ, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Oral Surgery
PAC ID
1052607256
Enrollment ID
I20210212002401

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New Jersey and Pennsylvania. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NJ New Jersey
Licence
22DI02507400
Specialty
Oral and Maxillofacial Surgery (Dentist)
Verify with the NJ board →
PA Pennsylvania
Licence
DA031767
Specialty
Anesthesiology Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 22DI02507400 NJ
207L00000X Anesthesiology Physician DA031767 PA
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery DS040658 PA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1639434665 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 5, 2012
Last updatedJul 6, 2021
StatusActive
Sole proprietorNo
GenderMale
CredentialDMD
Practice address 8240 CAZENOVIA RD STE 60
Manlius, NY 13104
(315) 692-6546
Fax (315) 692-0449
The last update on file is Jul 6, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1639434665 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 3 9 4 3 4 6 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 6 9 8 3 8 6 3

Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1639434665?
NPI 1639434665 is the National Provider Identifier assigned to Edious Elliot, DMD in Manlius, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact Edious Elliot, DMD?
The phone number on file with NPPES is (315) 692-6546, last updated Jul 6, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edious Elliot, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1639434665 a valid number?
Yes. 1639434665 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.