DR. RICHARD LEROY ELLIS III DDS
NPI 1154429785
Dentist - General Practice in Salt Lake City, UT
About Dr. Richard Leroy Ellis Iii Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD LEROY ELLIS III DDS (NPI 1154429785) is an individual general practice provider in Salt Lake City, Utah, licensed in Utah (59134909922) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Iii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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 Iii's NPI number?
The NPI number for Richard Ellis Iii is 1154429785. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Richard Ellis Iii located?
Richard Ellis Iii 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 Iii's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Richard Ellis Iii enrolled in Medicare?
Yes. Richard Ellis Iii is registered in the Medicare PECOS enrollment system.
What insurance does Richard Ellis Iii accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Richard Ellis Iii 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 Iii was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Richard Leroy Ellis Iii, DDS · NPI 1154429785
General Practice provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1154429785 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 59134909922 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5 S 700 E, SUITE B-30, Salt Lake City, UT 84102-1135
- **Phone:** (801) 355-3263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1154429785) · Data from the CMS NPPES public registry.