MATTHEW RYAN ELLIS DDS
NPI 1639694672
Dentist in St Louis Park, MN

Active since August 10, 2017PECOS Enrolled
8454 HIGHWAY 7, ST LOUIS PARK, MN 55426(952) 933-3667 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Ryan Ellis Dds NPPES

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

MATTHEW RYAN ELLIS DDS (NPI 1639694672) is an individual dentist in St Louis Park, Minnesota, licensed in Minnesota (D14822) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639694672
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMATTHEW RYAN ELLISCredential: DDS
Location Address8454 HIGHWAY 7St Louis Park, MN 55426-3900
Mailing Address5389 Empire Ln NPlymouth, MN 55446-3916 · (949) 769-1820
Sole ProprietorNo
Enumeration DateAugust 10, 2017
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
NPI 1639694672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MN · D14822 Licensed in CA · 101852
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.

8454 HIGHWAY 7, St Louis Park, MN 55426

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)

Matthew Ryan Ellis 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 55426 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 8

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

Dentist (General Practice)
8454 HIGHWAY 7
ST. LOUIS PARK, MN 55426
Dentist (General Practice)
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist (General Practice)
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist (General Practice)
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist (General Practice)
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426
Dentist
8454 HIGHWAY 7
ST LOUIS PARK, MN 55426

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 Matthew Ellis's NPI number?

The NPI number for Matthew Ellis is 1639694672. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Where is Matthew Ellis located?

Matthew Ellis practices at 8454 Highway 7, St Louis Park, MN 55426. The listed phone number is (952) 933-3667.

What is Matthew Ellis's specialty?

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

Is Matthew Ellis enrolled in Medicare?

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

What insurance does Matthew Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Matthew 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 Matthew Ellis was last updated on February 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.