GREGORY SEAN ELLIS DDS
NPI 1821182106
Dentist - General Practice in Fort Worth, TX

Q: What is Gregory Ellis's NPI number?

The NPI number for Gregory Ellis is 1821182106. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Gregory Ellis's specialty?

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

Q: Is Gregory Ellis enrolled in Medicare?

No. Gregory Ellis has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gregory 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.

Active since October 03, 2006Opted out of Medicare · through Jul 23, 2028

7621 OAKMONT BLVD, FORT WORTH, TX 76132(817) 370-7776(817) 370-8860 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Gregory Sean Ellis Dds NPPES

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

GREGORY SEAN ELLIS DDS (NPI 1821182106) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (18765) and active in the NPI registry since October 2006. He has opted out of Medicare through July 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821182106

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGREGORY SEAN ELLISCredential: DDS

Location Address7621 OAKMONT BLVDFort Worth, TX 76132-4206

Mailing Address7621 Oakmont BlvdFort Worth, TX 76132-4206 · (817) 370-7776 · Fax (817) 370-8860

Phone(817) 370-7776

Fax(817) 370-8860

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821182106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 18765

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.

7621 OAKMONT BLVD, Fort Worth, TX 76132

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gregory Sean Ellis Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2014 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2014

Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

GREGORY ELLIS DDS PC

Durable Medical Equipment & Medical Supplies

7621 OAKMONT BLVD
FORT WORTH, TX 76132

Tarrant County (817) 370-7776

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 Gregory Ellis's NPI number?

The NPI number for Gregory Ellis is 1821182106. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Gregory Ellis located?

Gregory Ellis practices at 7621 Oakmont Blvd, Fort Worth, TX 76132. The listed phone number is (817) 370-7776.

What is Gregory Ellis's specialty?

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

Is Gregory Ellis enrolled in Medicare?

No. Gregory Ellis has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregory 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.