DR. RICHARD LEROY ELLIS II DMD
NPI 1073611547
Dentist - General Practice in Salt Lake City, UT

Active since September 20, 2006PECOS Enrolled
5 S 700 E, SUITE B-30, SALT LAKE CITY, UT 84102(801) 355-3263(801) 534-0769 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Leroy Ellis Ii Dmd NPPES

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

DR. RICHARD LEROY ELLIS II DMD (NPI 1073611547) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (1408449922) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073611547
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RICHARD LEROY ELLIS IICredential: DMD
Location Address5 S 700 E, SUITE B-30Salt Lake City, UT 84102-1135
Mailing Address5 S 700 E, Suite B-30Salt Lake City, UT 84102-1135 · (801) 355-3263 · Fax (801) 534-0769
Fax(801) 534-0769
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073611547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 1408449922
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.

5 S 700 E, Salt Lake City, UT 84102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard Leroy Ellis Ii Dmd 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 84102 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 3

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

Dentist (General Practice)
5 S 700 E, SUITE B-30
SALT LAKE CITY, UT 84102
Dentist
5 S 700 E, STE 204
SALT LAKE CITY, UT 84102
Dentist (General Practice)
5 S 700 E, SUITE 202
SALT LAKE CITY, UT 84102

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 Richard Ellis Ii's NPI number?

The NPI number for Richard Ellis Ii is 1073611547. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Richard Ellis Ii located?

Richard Ellis Ii practices at 5 S 700 E Suite B-30, Salt Lake City, UT 84102. The listed phone number is (801) 355-3263.

What is Richard Ellis Ii's specialty?

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

Is Richard Ellis Ii enrolled in Medicare?

Yes. Richard Ellis Ii is registered in the Medicare PECOS enrollment system.

What insurance does Richard Ellis Ii accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Richard Ellis Ii 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 Richard Ellis Ii was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.