DR. ELLIOT R WILLIS-ORLANDO DDS
NPI 1164288684
Dentist - General Practice in Everett, WA

Q: What is Elliot Willis-orlando's NPI number?

The NPI number for Elliot Willis-orlando is 1164288684. It was assigned to this individual provider in the NPPES registry on February 22, 2024. The provider is also known as Elliot R Willis Dds.

Q: What is Elliot Willis-orlando's specialty?

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

Active since February 22, 2024PECOS Enrolled

4201 RUCKER AVE, EVERETT, WA 98203(425) 789-3789 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2025, Mar 26, 2025, Jul 11, 2024 (3 updates tracked since 2024).

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About Dr. Elliot R Willis-orlando Dds NPPES

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

DR. ELLIOT R WILLIS-ORLANDO DDS (NPI 1164288684) is an individual general practice provider in Everett, Washington, licensed in Washington (DE61629885) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1164288684

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLIOT R WILLIS-ORLANDOCredential: DDS

Location Address4201 RUCKER AVEEverett, WA 98203-2215

Mailing Address4201 Rucker AveEverett, WA 98203-2215 · (425) 789-3789

Phone(425) 789-3789

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 22, 2024

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1164288684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in WA · DE61629885✔ Licensed in HI · DT-3183

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.

4201 RUCKER AVE, Everett, WA 98203

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Other Names 1

Professional Name (2)Elliot R Willis Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Elliot R Willis-orlando Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800334145

PECOS Enrollment IDI20250820002564

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 98203 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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Other Providers at the Same Location NPPES 20

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

DR. GABIJA REVIS DMD

Dentist (General Practice)