Individual provider Active NPI

Elise Deringer, DDS

  • General Practice Dentistry
  • Ellensburg, WA
National Provider Identifier
1124633243
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TP61099581 Issued in WA
Practice address
2401 W Dolarway Rd
Ellensburg, WA 98926-9309
Phone
(509) 925-6553
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X TP61099581 WA Primary

Addresses

Primary practice location

2401 W Dolarway Rd
Ellensburg, WA 98926-9309

Mailing address

2401 W Dolarway Rd
Ellensburg, WA 98926-9309
Phone (509) 925-6553

Other practice location 1

206 W 1st St
Cle Elum, WA 98922-1108
Phone (509) 674-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TP61099581WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CD Bender DDS PLLC General Practice PastSince Oct 20, 2024 Accepting new patients
Michael R Cole DDS PS General Practice Past Accepting new patients
New Health Program Association PastSince Sep 1, 2020 Accepting new patients
New Health Programs Association PastSince Sep 1, 2020 Accepting new patients
Bender & Bland PLLC General Practice PastSince Nov 5, 2023 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1124633243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W DOLARWAY RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269309",
            "telephone_number": "509-925-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W DOLARWAY RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269309",
            "telephone_number": "509-925-6553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Cle Elum",
            "state": "WA",
            "postal_code": "989221108",
            "country_code": "US",
            "telephone_number": "509-674-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERINGER",
        "first_name": "ELISE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "TP61099581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.