Active NPI
Elise Deringer, DDS
- General Practice Dentistry
- Ellensburg, WA
National Provider Identifier
1124633243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- TP61099581
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| TP61099581 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CD Bender DDS PLLC | General Practice | Past | Accepting new patients |
| Michael R Cole DDS PS | General Practice | Past | Accepting new patients |
| New Health Program Association | Past | Accepting new patients | |
| New Health Programs Association | Past | Accepting new patients | |
| Bender & Bland PLLC | General Practice | Past | 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.
-
- General Practice Dentistry
- Ellensburg, WA
- NPI 1992578835
-
- General Practice Dentistry
- Cle Elum, WA
- NPI 1376363218
-
- General Practice Dentistry
- Ellensburg, WA
- NPI 1922108026
-
- Federally Qualified Health Center (FQHC)
- Colville, WA
- NPI 1508820879
-
- Federally Qualified Health Center (FQHC)
- Springdale, WA
- NPI 1104880004
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.