What is Kerisa Elloway's NPI number?

Kerisa Elloway's National Provider Identifier (NPI) is 1154452324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kerisa Elloway's specialty?

Kerisa Elloway is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Kerisa Elloway located?

Kerisa Elloway's practice location on file with NPPES is 1730 Main St, Fortuna, CA 95540-2451.

What is Kerisa Elloway's phone number?

The practice phone number listed in the NPPES registry for Kerisa Elloway is (707) 725-1303.

Is Kerisa Elloway's NPI active?

Yes — Kerisa Elloway's NPI (1154452324) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Kerisa Elloway, D.D.S.

NPI 1154452324 · Pediatric Dentistry · Fortuna, CA

Kerisa Elloway, D.D.S. is a Pediatric Dentistry provider in Fortuna, CA (NPI 1154452324).

Provider details

NPI number: 1154452324
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: D.D.S.
Sex: Female
Sole proprietor: Yes
License: 47254 (CA)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 47254 (CA)
Dental Providers

Profile Score

Detailed profile(89/100 index)

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

Registry tenure38% of score
19 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

1730 Main St

Suite a

Fortuna, CA 95540-2451

Phone: (707) 725-1303

Fax: (707) 725-1358

Street-level locationGet directions

More CA providers

Mailing address

1730 Main St Ste a