Individual provider Active NPI

Arlan R Ellis, D.D.S.

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1497824916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6089 Issued in WA
Practice address
993 S 24TH St W
Suite a
Billings, MT 59102-7433
Phone
(406) 652-7000
Fax
(406) 652-7002
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6089 WA Primary

Addresses

Primary practice location

993 S 24TH St W
Suite a
Billings, MT 59102-7433

Mailing address

993 S 24TH St W
Suite a
Billings, MT 59102-7433
Phone (406) 652-7000

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
6089WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carl W. Youngquist, D.D.S, P.S. Past Accepting new patients
Expediton Dentistry General Practice Past Accepting new patients

Organizations & group practices 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497824916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 S 24TH ST W",
            "address_2": "SUITE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027433",
            "telephone_number": "406-652-7000",
            "fax_number": "406-652-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 S 24TH ST W",
            "address_2": "SUITE A",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027433",
            "telephone_number": "406-652-7000",
            "fax_number": "406-652-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ARLAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.