HOLLY ELLIS DDS
NPI 1013027937
Dentist - General Practice in Saint Louis, MO

Active since August 30, 2006PECOS Enrolled
10296 BIG BEND RD STE 207, SAINT LOUIS, MO 63122(314) 965-1334(314) 965-0679 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Ellis Dds NPPES

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

HOLLY ELLIS DDS (NPI 1013027937) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2006021179) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013027937
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameHOLLY ELLISCredential: DDS
Location Address10296 BIG BEND RD STE 207Saint Louis, MO 63122-6582
Mailing Address10296 Big Bend Rd Ste 207Saint Louis, MO 63122-6582 · (314) 965-1334 · Fax (314) 965-0679
Fax(314) 965-0679
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
NPI 1013027937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 2006021179
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.
10296 BIG BEND RD STE 207, Saint Louis, MO 63122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Holly Ellis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
10296 BIG BEND RD STE 207
SAINT LOUIS, MO 63122

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 Holly Ellis's NPI number?

The NPI number for Holly Ellis is 1013027937. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Holly Ellis located?

Holly Ellis practices at 10296 Big Bend Rd Ste 207, Saint Louis, MO 63122. The listed phone number is (314) 965-1334.

What is Holly Ellis's specialty?

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

Is Holly Ellis enrolled in Medicare?

Yes. Holly Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Ellis was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.