Active NPI
Ronald H. Ellingsen, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Redmond, WA
National Provider Identifier
1700626744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, PLLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider Directory- Tax ID family
- Ronald H Ellingsen PLLC
- 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spokane, WA
- NPI 1013658087
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spokane, WA
- NPI 1215777057
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spokane, WA
- NPI 1013658087
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.