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DR. ELLWOOD LOUIS DAVIDSON DDS
NPI 1558522623
Dentist in Seattle, WA

Active since June 21, 2008PECOS Enrolled
2124 4TH AVE, SEATTLE, WA 98121(206) 296-4755(206) 296-0184 Get Directions Write a Review

NPPES record last updated: June 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ellwood Louis Davidson Dds NPPES

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

DR. ELLWOOD LOUIS DAVIDSON DDS (NPI 1558522623) is an individual dentist in Seattle, Washington, licensed in Washington (DE00008809) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558522623
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ELLWOOD LOUIS DAVIDSONCredential: DDS
Location Address2124 4TH AVESeattle, WA 98121-2308
Mailing Address2414 S Lane StSeattle, WA 98144-3016 · (206) 329-2968
Phone(206) 296-4755
Fax(206) 296-0184
Sole ProprietorNo
Enumeration DateJune 21, 2008
✔ NPI 1558522623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE00008809
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.
2124 4TH AVE, Seattle, WA 98121
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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. Ellwood Louis Davidson Dds 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 98121 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 20

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

ANNE MAGNUSON ROBERTS RN
Registered Nurse
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 263-8685
MRS. LISA DIGIORGIO MPH, RD, CD
Dietitian, Registered
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 296-4960
EMERIN HATFIELD
Registered Nurse
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-8262
MALIN HAMBLIN MSW, LICSW
Social Worker (Clinical)
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-7597
MRS. KAREN ELIZABETH RUSSELL LICSW
Social Worker (Clinical)
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-8300
DARIAN HIMES RN
Registered Nurse
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-8300
OKSANA V KOZUB RN
Registered Nurse
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-8300
LAUREN NICOLE LUND RN
Registered Nurse (Community Health)
2124 4TH AVE
SEATTLE, WA 98121
King County (206) 477-4870

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 Ellwood Davidson's NPI number?

The NPI number for Ellwood Davidson is 1558522623. It was assigned to this individual provider in the NPPES registry on June 21, 2008.

Where is Ellwood Davidson located?

Ellwood Davidson practices at 2124 4th Ave, Seattle, WA 98121. The listed phone number is (206) 296-4755.

What is Ellwood Davidson's specialty?

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

Is Ellwood Davidson enrolled in Medicare?

Yes. Ellwood Davidson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellwood Davidson was last updated on June 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.