Active NPI
Ronald H. Ellingsen, D.D.S.,M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Spokane, WA
National Provider Identifier
1780778662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6353
- Practice address
- 9915 N Division St
Spokane, WA 99218-1303 - Phone
- (509) 467-2606
- Fax
- (509) 465-8272
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6353 | WA | Primary |
Addresses
Primary practice location
9915 N Division St
Spokane, WA 99218-1303
Mailing address
9915 N Division St
Spokane, WA 99218-1303
Phone (509) 467-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5033576 | Medicaid | WA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6353 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald H. Ellingsen, PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- 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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780778662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181303",
"telephone_number": "509-467-2606",
"fax_number": "509-465-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181303",
"telephone_number": "509-467-2606",
"fax_number": "509-465-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSEN",
"first_name": "RONALD",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "6353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5033576",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
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.