Ellery Young, DDS
NPI 1124593405 · Dentist · Spokane Valley, WA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellery Young, DDS is a Dentist provider in Spokane Valley, WA (NPI 1124593405).
Provider details
- NPI number
- 1124593405
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DE60877908 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 2004 Se 192nd Ave Ste 101Vancouver, WA 98683-9505Phone: (360) 768-5609
Registry dates
- Enumerated
- 2018-10-12
- Last updated
- 2019-01-30
Frequently asked questions
- What is Ellery Young's NPI number?
- Ellery Young's National Provider Identifier (NPI) is 1124593405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellery Young's specialty?
- Ellery Young is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ellery Young located?
- Ellery Young's practice location on file with NPPES is 1502 N Vercler Rd, Spokane Valley, WA 99216.
- What is Ellery Young's phone number?
- The practice phone number listed in the NPPES registry for Ellery Young is (509) 444-8200.
- Does Ellery Young accept Medicare?
- Ellery Young is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellery Young's NPI active?
- Yes — Ellery Young's NPI (1124593405) is active in the NPPES registry as of the last update on 2019-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.