TRENT PARKER ELLIS DMD
NPI 1356828347
Dentist - Oral and Maxillofacial Surgery in Joint Base Lewis Mcchord, WA

Active since July 23, 2018PECOS Enrolled
9040A JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-0174 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Dec 15, 2022, Jul 23, 2018 (3 updates tracked since 2018).

About Trent Parker Ellis Dmd NPPES

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

TRENT PARKER ELLIS DMD (NPI 1356828347) is an individual oral and maxillofacial surgery provider in Joint Base Lewis Mcchord, Washington, licensed in Washington (61404526) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356828347
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTRENT PARKER ELLISCredential: DMD
Location Address9040A JACKSON AVENUEJoint Base Lewis Mcchord, WA 98431-7719
Mailing Address9434 CopperwayConverse, TX 78109-2063 · (801) 859-7315
Sole ProprietorNo
Enumeration DateJuly 23, 2018
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1356828347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · 61404526
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 10101 (KY)
9040A JACKSON AVENUE, Joint Base Lewis Mcchord, WA 98431

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)

Trent Parker Ellis Dmd 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 98431 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.

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Gastroenterology)
9040A JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431
Pediatrics (Pediatric Hematology-Oncology)
9040A JACKSON AVENUE, MCHJ-CLP
TACOMA, WA 98431
Dentist
9040A JACKSON AVENUE
TACOMA, WA 98431
Dietitian, Registered (Nutrition, Pediatric)
9040A JACKSON AVENUE, NUTRITION CARE DIVISION
JBLM, WA 98431
Pharmacist
9040A JACKSON AVENUE
TACOMA, WA 98431
Dietitian, Registered
9040A JACKSON AVENUE
TACOMA, WA 98431
Occupational Therapist
9040A JACKSON AVENUE
TACOMA, WA 98431
Physical Therapist
9040A JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA 98431

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 Trent Ellis's NPI number?

The NPI number for Trent Ellis is 1356828347. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Trent Ellis located?

Trent Ellis practices at 9040A Jackson Avenue, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-0174.

What is Trent Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Trent Ellis enrolled in Medicare?

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

What insurance does Trent Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Trent Ellis 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 Trent Ellis was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.