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DAVID JOHN ELLINGSON DDS
NPI 1689856148
Dentist in Mesa, AZ

Active since November 27, 2007PECOS Enrolled
3549 E BROWN RD, STE 104, MESA, AZ 85213(480) 830-2956(480) 830-3019 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David John Ellingson Dds NPPES

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

DAVID JOHN ELLINGSON DDS (NPI 1689856148) is an individual dentist in Mesa, Arizona, licensed in Arizona (97397) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689856148
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID JOHN ELLINGSONCredential: DDS
Location Address3549 E BROWN RD, STE 104Mesa, AZ 85213-5508
Mailing Address3549 E. Brown Rd., Ste 104Mesa, AZ 85213 · (480) 830-2956 · Fax (490) 830-3019
Phone(480) 830-2956
Fax(480) 830-3019
Sole ProprietorNo
Enumeration DateNovember 27, 2007
Last NPPES UpdateMay 13, 2011
✔ NPI 1689856148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 97397
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.
3549 E BROWN RD, Mesa, AZ 85213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

David John Ellingson 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 85213 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

LAWRENCE SCOTT ADAMS DDS
Dentist
3549 E BROWN RD, STE #104
MESA, AZ 85213
Maricopa County (480) 830-2956

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 David Ellingson's NPI number?

The NPI number for David Ellingson is 1689856148. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is David Ellingson located?

David Ellingson practices at 3549 E Brown Rd Ste 104, Mesa, AZ 85213. The listed phone number is (480) 830-2956.

What is David Ellingson's specialty?

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

Is David Ellingson enrolled in Medicare?

Yes. David Ellingson is registered in the Medicare PECOS enrollment system.

What insurance does David Ellingson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list David 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 David Ellingson was last updated on May 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.