What is Randall A. Ellis, DDS, PLLC's NPI number?

Randall A. Ellis, DDS, PLLC's National Provider Identifier (NPI) is 1114619657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Randall A. Ellis, DDS, PLLC?

Randall A. Ellis, DDS, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).

Where is Randall A. Ellis, DDS, PLLC located?

Randall A. Ellis, DDS, PLLC's practice location on file with NPPES is 4617 Summerhill Rd Ste 3, Texarkana, TX 75503-2783.

What is Randall A. Ellis, DDS, PLLC's phone number?

The practice phone number listed in the NPPES registry for Randall A. Ellis, DDS, PLLC is (903) 838-5506.

Who is the authorized official for Randall A. Ellis, DDS, PLLC?

The authorized official listed on Randall A. Ellis, DDS, PLLC's NPPES record is Randall Ellis, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Randall A. Ellis, DDS, PLLC's NPI active?

Yes — Randall A. Ellis, DDS, PLLC's NPI (1114619657) is active in the NPPES registry as of the last update on 2023-05-23.

OrganizationActive

Randall A. Ellis, DDS, PLLC

NPI 1114619657 · General Practice Dentistry · Texarkana, TX

Randall A. Ellis, DDS, PLLC is a General Practice Dentistry organization in Texarkana, TX (NPI 1114619657).

Provider details

NPI number: 1114619657
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Randall Ellis, Owner/Dentist(903) 838-5506

Practice location

4617 Summerhill Rd Ste 3

Texarkana, TX 75503-2783

Phone: (903) 838-5506

Street-level locationGet directions

More TX providers

Mailing address

4617 Summerhill Rd Ste 3

Texarkana, TX 75503-2783

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2023-05-23
Last updated: 2023-05-23
Certified: 2023-05-23

Frequently asked questions

What is Randall A. Ellis, DDS, PLLC's NPI number?: Randall A. Ellis, DDS, PLLC's National Provider Identifier (NPI) is 1114619657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Randall A. Ellis, DDS, PLLC?: Randall A. Ellis, DDS, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
Where is Randall A. Ellis, DDS, PLLC located?: Randall A. Ellis, DDS, PLLC's practice location on file with NPPES is 4617 Summerhill Rd Ste 3, Texarkana, TX 75503-2783.
What is Randall A. Ellis, DDS, PLLC's phone number?: The practice phone number listed in the NPPES registry for Randall A. Ellis, DDS, PLLC is (903) 838-5506.
Who is the authorized official for Randall A. Ellis, DDS, PLLC?: The authorized official listed on Randall A. Ellis, DDS, PLLC's NPPES record is Randall Ellis, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Randall A. Ellis, DDS, PLLC's NPI active?: Yes — Randall A. Ellis, DDS, PLLC's NPI (1114619657) is active in the NPPES registry as of the last update on 2023-05-23.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions