Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. EARL ELLIS D.D.S., M.S
NPI 1831150333
Dentist - Periodontics in Biloxi, MS

Active since April 01, 2006Opted out of Medicare · through Nov 22, 2027
606 FISHER ST, BILOXI, MS 39534(228) 377-4510 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Earl Ellis D.d.s., M.s NPPES

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

DR. EARL ELLIS D.D.S., M.S (NPI 1831150333) is an individual periodontics provider in Biloxi, Mississippi, licensed in Texas (14, 622) and active in the NPI registry since April 2006. He has opted out of Medicare through November 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1831150333
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. EARL ELLISCredential: D.D.S., M.S
Location Address606 FISHER STBiloxi, MS 39534-2513
Mailing Address2475 Provence PlBiloxi, MS 39531-2285
Sole ProprietorNo
Enumeration DateApril 1, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1831150333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in TX · 14, 622
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

606 FISHER ST, Biloxi, MS 39534

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Earl Ellis D.d.s., M.s 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 November 22, 2017 through November 22, 2027.

Opt-Out Effective DateNovember 22, 2017
Opt-Out In Effect ThroughNovember 22, 2027Opt-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 39534 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 6

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

Dentist
606 FISHER ST, KEESLER AFB
GULFPORT, MS 39534
Dentist (Oral and Maxillofacial Surgery)
606 FISHER ST, 81MDG/SGD
KEESLER AFB, MS 39534
Dentist (General Practice)
606 FISHER ST
KEESLER AFB, MS 39534
Dentist
606 FISHER ST, SUITE E
BILOXI, MS 39534
Dentist
606 FISHER ST
KEESLER AFB, MS 39534
Dental Hygienist
606 FISHER ST
KEESLER AFB, MS 39534

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 Earl Ellis's NPI number?

The NPI number for Earl Ellis is 1831150333. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is Earl Ellis located?

Earl Ellis practices at 606 Fisher St, Biloxi, MS 39534. The listed phone number is (228) 377-4510.

What is Earl Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Earl Ellis enrolled in Medicare?

No. Earl Ellis has opted out of Medicare through November 22, 2027. 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 Earl Ellis was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.