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WILLIAM S DENTE ELLIS D.O.
NPI 1952749152
Family Medicine in Lackland Afb, TX

Active since June 10, 2013PECOS Enrolled
1940 CARSWELL AVE BLDG 7002, LACKLAND AFB, TX 78236(210) 916-9900 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jun 14, 2024, Aug 10, 2023 and 2 more (5 updates tracked since 2016).

About William S Dente Ellis D.o. NPPES

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

WILLIAM S DENTE ELLIS D.O. (NPI 1952749152) is an individual family medicine provider in Lackland Afb, Texas, licensed in Nebraska (1267) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1952749152
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM S DENTE ELLISCredential: D.O.
Location Address1940 CARSWELL AVE BLDG 7002Lackland Afb, TX 78236-5514
Mailing Address1940 Carswell Ave Bldg 7002Lackland Afb, TX 78236-5514 · (210) 916-9900
Phone(210) 916-9900
Sole ProprietorNo
Enumeration DateJune 10, 2013
Last NPPES UpdateJuly 24, 20245 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1952749152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NE · 1267✔ Licensed in TX · V1439
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1940 CARSWELL AVE BLDG 7002, Lackland Afb, TX 78236
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Secondary Practice Location 1

Location 112840 W Interstate 10 Ste 101San Antonio, TX 78249-2361 · Phone (936) 689-0475

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William S Dente Ellis D.o. 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 78236 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

DR. STEPHEN DUNFORD KASTELER M.D., MPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
1940 CARSWELL AVE BLDG 7002
JBSA LACKLAND, TX 78236
Bexar County (210) 292-1184
MR. JEREMY MICHAEL GREELEY
Military Health Care Provider (Independent Duty Medical Technicians)
1940 CARSWELL AVE BLDG 7002
LACKLAND AFB, TX 78236
Bexar County (210) 808-5415
DR. FRANCIS VU TRAN M.D.
Family Medicine
1940 CARSWELL AVE BLDG 7002
SAN ANTONIO, TX 78236
Bexar County (210) 292-0515
DANIEL M CROMWELL M.S.
Audiologist
1940 CARSWELL AVE BLDG 7002
JBSA LACKLAND, TX 78236
Bexar County (832) 322-2347
DR. ANGELA KELLER SIMONOWICZ AUD
Audiologist
1940 CARSWELL AVE BLDG 7002
LACKLAND AFB, TX 78236
Bexar County (210) 292-1245
TYQUANDARIUS WILLIAMSON
Military Health Care Provider (Independent Duty Medical Technicians)
1940 CARSWELL AVE BLDG 7002
SAN ANTONIO, TX 78236
Bexar County (210) 916-9900
CHARLENE ROSE BARRERA PIAD BSN, RN
Registered Nurse
1940 CARSWELL AVE BLDG 7002
JBSA LACKLAND, TX 78236
Bexar County (210) 292-0000

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 William Dente Ellis's NPI number?

The NPI number for William Dente Ellis is 1952749152. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is William Dente Ellis located?

William Dente Ellis practices at 1940 Carswell Ave Bldg 7002, Lackland Afb, TX 78236. The listed phone number is (210) 916-9900.

What is William Dente Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Dente Ellis enrolled in Medicare?

Yes. William Dente Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Dente Ellis was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.