DR. JON MATTHEW ELLENBECKER DDS
NPI 1982792289
Dentist - General Practice in Sioux Falls, SD

Q: What is Jon Ellenbecker's NPI number?

The NPI number for Jon Ellenbecker is 1982792289. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Jon Ellenbecker'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 Jon Ellenbecker was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2006PECOS Enrolled

5201 S WESTERN AVE, SIOUX FALLS, SD 57108(605) 339-2200(605) 334-5530 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jon Matthew Ellenbecker Dds NPPES

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

DR. JON MATTHEW ELLENBECKER DDS (NPI 1982792289) is an individual general practice provider in Sioux Falls, South Dakota, licensed in South Dakota (M887) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982792289

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON MATTHEW ELLENBECKERCredential: DDS

Location Address5201 S WESTERN AVESioux Falls, SD 57108-5004

Mailing Address5201 S Western AveSioux Falls, SD 57108-5004 · (605) 339-2200 · Fax (605) 334-5530

Phone(605) 339-2200

Fax(605) 334-5530

Sole ProprietorNo

Enumeration DateOctober 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982792289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SD · M887

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.

5201 S WESTERN AVE, Sioux Falls, SD 57108

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Other Identifiers 1

Medicaid7803400SD

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. Jon Matthew Ellenbecker 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 57108 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.