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DR. JEREMY W ELLIS D.D.S.
NPI 1568558468
Dentist - General Practice in Logan, UT

Active since October 05, 2006PECOS Enrolled
965 S 100 W, #102, LOGAN, UT 84321(435) 752-9741(435) 753-5169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeremy W Ellis D.d.s. NPPES

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

DR. JEREMY W ELLIS D.D.S. (NPI 1568558468) is an individual general practice provider in Logan, Utah, licensed in Utah (99-373-9289922) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568558468
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEREMY W ELLISCredential: D.D.S.
Location Address965 S 100 W, #102Logan, UT 84321-6062
Mailing Address965 S 100 W, #102Logan, UT 84321-6062 · (435) 752-9741 · Fax (435) 753-5169
Phone(435) 752-9741
Fax(435) 753-5169
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568558468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 99-373-9289922
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
965 S 100 W, Logan, UT 84321
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Jeremy W Ellis 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 84321 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 9

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

ALLIANCE HOME HEALTH OF NORTHERN UTAH, LLC
Home Health
965 S 100 W, STE. 204
LOGAN, UT 84321
Cache County (435) 753-0707
JEANNINE DEBORAH NIELSON MS
Counselor (Mental Health)
965 S 100 W, SUITE 203
LOGAN, UT 84321
Cache County (435) 752-1976
DR. TIM B BELNAP D.D.S., P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
965 S 100 W, SUITE 100
LOGAN, UT 84321
Cache County (435) 752-7953
HOSPICE ALLIANCE OF UTAH, LLC
Hospice Care, Community Based
965 S 100 W, SUITE 204
LOGAN, UT 84321
Cache County (435) 753-0707
ADVANCED SPINE & HEALTH CENTER
Chiropractor
965 S 100 W, STE. 105
LOGAN, UT 84321
Cache County (435) 752-5522
LAUREL CARTER MS
Counselor (Mental Health)
965 S 100 W, #203
LOGAN, UT 84321
Cache County (435) 752-1976
NORMA JEAN PECK LCSW
Social Worker (Clinical)
965 S 100 W, SUITE 203
LOGAN, UT 84321
Cache County (435) 752-1976
JOSEPH ANDERSON, D.C., PLLC
Health Maintenance Organization
965 S 100 W, SUITE 105
LOGAN, UT 84321
Cache County (435) 752-5522

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 Jeremy Ellis's NPI number?

The NPI number for Jeremy Ellis is 1568558468. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Jeremy Ellis located?

Jeremy Ellis practices at 965 S 100 W #102, Logan, UT 84321. The listed phone number is (435) 752-9741.

What is Jeremy Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeremy Ellis enrolled in Medicare?

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

What insurance does Jeremy Ellis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Jeremy 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 Jeremy Ellis 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.