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
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 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.
Practice location
4617 Summerhill Rd Ste 3
Texarkana, TX 75503-2783
Phone: (903) 838-5506
Street-level locationGet directions
Mailing address
4617 Summerhill Rd Ste 3
Texarkana, TX 75503-2783
Registry dates
- 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.