DR. MITCHELL WARD ELLINGSON D.D.S.
NPI 1497956742
Dentist - General Practice in Phoenix, AZ
About Dr. Mitchell Ward Ellingson D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITCHELL WARD ELLINGSON D.D.S. (NPI 1497956742) is an individual general practice provider in Phoenix, Arizona, licensed in Arizona (7229) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Dr. Mitchell Ward Ellingson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85028
PHOENIX, AZ 85028
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 Mitchell Ellingson's NPI number?
The NPI number for Mitchell Ellingson is 1497956742. It was assigned to this individual provider in the NPPES registry on May 31, 2007.
Where is Mitchell Ellingson located?
Mitchell Ellingson practices at 4530 E Shea Blvd, Phoenix, AZ 85028. The listed phone number is (602) 992-4510.
What is Mitchell Ellingson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mitchell Ellingson enrolled in Medicare?
Yes. Mitchell Ellingson is registered in the Medicare PECOS enrollment system.
What insurance does Mitchell Ellingson accept?
Health plans from Anthem Blue Cross and Blue Shield list Mitchell Ellingson 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 Mitchell Ellingson was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Mitchell Ward Ellingson, D.D.S. · NPI 1497956742
General Practice provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 31, 2007.
## Identity
- **NPI:** 1497956742 (Entity type: Individual)
- **Enumerated:** May 31, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 7229 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4530 E SHEA BLVD, Phoenix, AZ 85028-6065
- **Phone:** (602) 992-4510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** February 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1497956742) · Data from the CMS NPPES public registry.