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KAYLA ELLIS DDS
NPI 1003703406
Dentist - General Practice in Portland, OR

Active since June 19, 2025
1710 NE 122ND AVE, PORTLAND, OR 97230(503) 295-2120 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kayla Ellis Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA ELLIS DDS (NPI 1003703406) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D12194) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1003703406
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKAYLA ELLISCredential: DDS
Location Address1710 NE 122ND AVEPortland, OR 97230-1939
Mailing Address514 Se Belmont St Apt 501Portland, OR 97214-4686 · (248) 595-3635
Phone(503) 295-2120
Sole ProprietorYes
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1003703406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D12194
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1710 NE 122ND AVE, Portland, OR 97230
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL MODERN DENTISTRY, PC
Dentist (General Practice)
1710 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 295-2120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Ellis's NPI number?

The NPI number for Kayla Ellis is 1003703406. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Kayla Ellis located?

Kayla Ellis practices at 1710 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 295-2120.

What is Kayla Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kayla Ellis accept?

Health plans from Delta Dental Plan of Oregon list Kayla Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayla Ellis was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.