Organization Active NPI

Ronald H. Ellingsen, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
National Provider Identifier
1700626744
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RONALD H. ELLINGSEN, PLLC
Practice address
15881 NE 85TH St Unit 160
Redmond, WA 98052-3889
Phone
(425) 883-3353
NPI assigned
May 28, 2024
Organization subpart
Yes
Parent organization
RONALD H. ELLINGSEN, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Charlotte Dasch
Title
Director of Cred and Prov Rel
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

15881 NE 85TH St Unit 160
Redmond, WA 98052-3889

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0758

Other practice location 1

14142 Main St NE Ste 102
Duvall, WA 98019-9007
Phone (425) 883-3353

Other names 1

  • Bruner Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ronald H Ellingsen PLLC4 organizations share this tax ID, including this one
Part of
Ronald H Ellingsen PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15881 NE 85th St
Unit 160
Redmond, WA 98052
Phone (425) 883-3353

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1700626744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15881 NE 85TH ST UNIT 160",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523889",
            "telephone_number": "425-883-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14142 Main St NE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Duvall",
            "state": "WA",
            "postal_code": "980199007",
            "country_code": "US",
            "telephone_number": "425-883-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RONALD H. ELLINGSEN, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD H. ELLINGSEN, PLLC",
        "enumeration_date": "2024-05-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruner Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.