1. Home
  2. Directory
  3. Arkansas
  4. Fort Smith
  5. Dentist
  6. NPI Profile

DR. DREW SAMUEL ELLENWOOD D.D.S.
NPI 1407878697
Dentist in Fort Smith, AR

Active since July 24, 2006PECOS Enrolled
520 S 14TH ST, FORT SMITH, AR 72901(479) 782-3005(479) 494-7490 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Drew Samuel Ellenwood D.d.s. NPPES

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

DR. DREW SAMUEL ELLENWOOD D.D.S. (NPI 1407878697) is an individual dentist in Fort Smith, Arkansas, licensed in Arkansas (2781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407878697
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DREW SAMUEL ELLENWOODCredential: D.D.S.
Location Address520 S 14TH STFort Smith, AR 72901-4608
Mailing Address520 S 14th StFort Smith, AR 72901-4608 · (479) 782-3005 · Fax (479) 494-7490
Phone(479) 782-3005
Fax(479) 494-7490
Sole ProprietorYes
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407878697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AR · 2781
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
520 S 14TH ST, Fort Smith, AR 72901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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. Drew Samuel Ellenwood D.d.s. 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 72901 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 4

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

LE WESTERN DENTISTRY, PLLC
Point of Service
520 S 14TH ST
FORT SMITH, AR 72901
Sebastian County (479) 782-3005
REGIONAL DENTAL CENTER INC
Dentist (General Practice)
520 S 14TH ST
FORT SMITH, AR 72901
Sebastian County (479) 782-3005
DR. STAN M UDOUJ D.M.D.
Dentist (General Practice)
520 S 14TH ST
FORT SMITH, AR 72901
Sebastian County (479) 782-3005
FRANK GRIFFIN DDS
Dentist
520 S 14TH ST
FORT SMITH, AR 72901
Sebastian County (479) 782-3005

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 Drew Ellenwood's NPI number?

The NPI number for Drew Ellenwood is 1407878697. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Drew Ellenwood located?

Drew Ellenwood practices at 520 S 14th St, Fort Smith, AR 72901. The listed phone number is (479) 782-3005.

What is Drew Ellenwood's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Drew Ellenwood enrolled in Medicare?

Yes. Drew Ellenwood is registered in the Medicare PECOS enrollment system.

What insurance does Drew Ellenwood accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 16 other insurers list Drew Ellenwood 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 Drew Ellenwood 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.