DR. ROBERT STEPHEN ELLIS D.D.S.
NPI 1124274394
Dentist - General Practice in Laurel, MS

Q: What is Robert Ellis's NPI number?

The NPI number for Robert Ellis is 1124274394. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Q: What is Robert Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Ellis was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 07, 2008PECOS Enrolled

1434 - PARKER DRIVE, LAUREL, MS 39440(601) 649-3335(601) 426-6318 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Robert Stephen Ellis D.d.s. NPPES

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

DR. ROBERT STEPHEN ELLIS D.D.S. (NPI 1124274394) is an individual general practice provider in Laurel, Mississippi, licensed in Mississippi (1711-76) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124274394

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROBERT STEPHEN ELLISCredential: D.D.S.

Location Address1434 - PARKER DRIVELaurel, MS 39440-1942

Mailing Address1434 - Parker DriveLaurel, MS 39440-1942 · (601) 649-3335 · Fax (601) 426-6318

Phone(601) 649-3335

Fax(601) 426-6318

Sole ProprietorNo

Enumeration DateAugust 7, 2008

✔ NPI 1124274394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 1711-76

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.

1434 - PARKER DRIVE, Laurel, MS 39440

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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. Robert Stephen Ellis D.d.s. 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 39440 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

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 Robert Ellis's NPI number?

The NPI number for Robert Ellis is 1124274394. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Robert Ellis located?

Robert Ellis practices at 1434 - Parker Drive, Laurel, MS 39440. The listed phone number is (601) 649-3335.

What is Robert Ellis's specialty?

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

Is Robert Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Ellis was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.