DR. DEVIN DEJON ELLIS D.D.S
NPI 1750715843
Dentist - General Practice in Lakewood, CA

Q: What is Devin Ellis's NPI number?

The NPI number for Devin Ellis is 1750715843. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Q: What is Devin Ellis'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 Devin Ellis was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 26, 2013PECOS Enrolled

5555 DEL AMO BLVD, LAKEWOOD, CA 90713(562) 866-1735 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Devin Dejon Ellis D.d.s NPPES

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

DR. DEVIN DEJON ELLIS D.D.S (NPI 1750715843) is an individual general practice provider in Lakewood, California, licensed in California (62642) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750715843

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DEVIN DEJON ELLISCredential: D.D.S

Location Address5555 DEL AMO BLVDLakewood, CA 90713-2307

Mailing Address5555 Del Amo BlvdLakewood, CA 90713-2307 · (562) 866-1735

Phone(562) 866-1735

Sole ProprietorNo

Enumeration DateAugust 26, 2013

Last NPPES UpdateNovember 1, 2016

✔ NPI 1750715843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 62642

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.

5555 DEL AMO BLVD, Lakewood, CA 90713

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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)

Dr. Devin Dejon 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 90713 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 7

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

ROHIT BATHEJA DDS

Dentist (Endodontics)