DR. ERIC C ELLINGSEN DDS
NPI 1245453265
Dentist - General Practice in Spokane Valley, WA

NPI Status: Active since April 10, 2007

Contact Information

1215 N MCDONALD RD
SUITE 203
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 924-2866
Fax: (509) 924-8311

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  • Individual
  • Male
  • Dentist
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About ERIC ELLINGSEN

This page provides the complete NPI Profile along with additional information for Eric Ellingsen, a provider established in Spokane Valley, Washington with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1245453265 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number DE7903 (WA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1245453265
Provider Name
DR. ERIC C ELLINGSEN DDS
Gender
Male
Entity Type
Individual
Location Address
1215 N MCDONALD RD SUITE 203 SPOKANE VALLEY, WA 99216
Location Phone
(509) 924-2866
Location Fax
(509) 924-8311
Mailing Address
1215 N MCDONALD RD SUITE 203 SPOKANE VALLEY, WA 99216
Mailing Phone
(509) 924-2866
Mailing Fax
(509) 924-8311
Is Sole Proprietor?
No
Enumeration Date
04-10-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Eric Ellingsen is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DE7903
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Superior Dental Plan - PPO
  • BEST Life Essental Preferred Dental Plan - PPO
  • BEST Life Essental Value Dental Plan - PPO
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Basic Dental - PPO
  • BEST Life Essential Basic Dental Plan - Indemnity
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Essential Value Dental - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • HRI Essential Plus Plan - HMO
  • HRI Essential Plus Plan - PPO
  • HRI Preventive Family Plan - HMO
  • HRI Preventive Family Plan - PPO
  • HRI Total Care Plan - HMO
  • HRI Total Care Plan - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Paramount Dental Essential Plus Plan - EPO
  • Paramount Dental Preventive Family Plan - EPO
  • Paramount Dental Total Care Plan - EPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Eric Ellingsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ERIC C ELLINGSEN DDS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245453265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 8 + 5 + 6 + 2 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245453265.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Physical Therapist
1215 N MCDONALD RD, SUITE L-2
SPOKANE VALLEY, WA 99216
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Dentist (General Practice)
1215 N MCDONALD RD, SUITE 203
SPOKANE VALLEY, WA 99216
Physical Therapist
1215 N MCDONALD RD, SUITE L2
SPOKANE VALLEY, WA 99216
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Physical Therapist
1215 N MCDONALD RD, SUITE L2
SPOKANE VALLEY, WA 99216
Physical Therapist
1215 N MCDONALD RD, SUITE L2
SPOKANE VALLEY, WA 99216
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1215 N MCDONALD RD, SUITE 203
SPOKANE VALLEY, WA 99216
Podiatrist (Primary Podiatric Medicine)
1215 N MCDONALD RD, SUITE #201
SPOKANE VALLEY, WA 99216
Nurse Practitioner
1215 N MCDONALD RD, SUITE 101
SPOKANE VALLEY, WA 99216
Nurse Practitioner
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Clinic/Center (Dental)
1215 N MCDONALD RD, #203
SPOKANE VALLEY, WA 99216
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245453265, enumerated as an "individual" on April 10, 2007.

The provider is located at 1215 N MCDONALD RD SUITE 203 SPOKANE VALLEY, WA 99216 and the phone number is (509) 924-2866.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.