ELLOWAY & WONENBERG, D.D.S., A PROFESSIONAL DENTAL CORPORATION
NPI 1275664484
Dentist - Pediatric Dentistry in Eureka, CA

Q: What is Elloway & Wonenberg, D.D.S., A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since March 08, 2007

1519 2ND ST, EUREKA, CA 95501(707) 442-1140(707) 442-1038 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Elloway & Wonenberg, D.d.s., A Professional Dental Corporation NPPES

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

ELLOWAY & WONENBERG, D.D.S., A PROFESSIONAL DENTAL CORPORATION (NPI 1275664484) is a healthcare organization registered as a pediatric dentistry in Eureka, California and active in the NPI registry since March 2007. The organization lists Kerisa Sue Elloway, Owner, as its authorized official.

NPPES Registry Identity

NPI1275664484

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameELLOWAY & WONENBERG, D.D.S., A PROFESSIONAL DENTAL CORPORATION

Location Address1519 2ND STEureka, CA 95501-0701

Mailing Address1519 2nd StEureka, CA 95501-0701 · (707) 442-1140 · Fax (707) 442-1038

Phone(707) 442-1140

Fax(707) 442-1038

Organization SubpartNo

Authorized OfficialKerisa Sue EllowayOwner · (707) 442-1140

Enumeration DateMarch 8, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1275664484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 47254

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 49706 (CA)

1519 2ND ST, Eureka, CA 95501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Elloway & Wonenberg, D.D.S., A Professional Dental Corporation's NPI number?

The NPI number for Elloway & Wonenberg, D.D.S., A Professional Dental Corporation is 1275664484. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Elloway & Wonenberg, D.D.S., A Professional Dental Corporation located?

Elloway & Wonenberg, D.D.S., A Professional Dental Corporation is located at 1519 2nd St, Eureka, CA 95501. The listed phone number is (707) 442-1140.

What is Elloway & Wonenberg, D.D.S., A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Elloway & Wonenberg, D.D.S., A Professional Dental Corporation was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.