DR. ELLYSSE CANALES DDS
NPI 1750695144
Dentist - General Practice in San Antonio, TX

Q: What is Ellysse Canales's NPI number?

The NPI number for Ellysse Canales is 1750695144. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Q: What is Ellysse Canales's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellysse Canales was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 28, 2010PECOS Enrolled

323 NW 24TH ST, SAN ANTONIO, TX 78207(210) 436-6261(210) 436-7126 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Ellysse Canales Dds NPPES

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

DR. ELLYSSE CANALES DDS (NPI 1750695144) is an individual general practice provider in San Antonio, Texas, licensed in Texas (25653) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750695144

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLYSSE CANALESCredential: DDS

Location Address323 NW 24TH STSan Antonio, TX 78207-3209

Mailing Address323 Nw 24th St, 323 Nw 24th StreetSan Antonio, TX 78207-3209 · (210) 436-6261

Phone(210) 436-6261

Fax(210) 436-7126

Sole ProprietorYes

Enumeration DateJuly 28, 2010

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1750695144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 25653

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.

Also ListedDentistTaxonomy 122300000X · License 25653 (TX)

323 NW 24TH ST, San Antonio, TX 78207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Ellysse Canales 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 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 5

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

LUANA G BADEA DDS

Dentist (General Practice)