Randal Ellis, DMD P.L.L.C
NPI 1154689636 · General Practice Dentistry · Everson, WA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randal Ellis, DMD P.L.L.C is a General Practice Dentistry provider in Everson, WA (NPI 1154689636).
Provider details
- NPI number
- 1154689636
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD P.L.L.C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00008470 (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
14 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 68 | 54 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 60 | 50 |
| Chlorhexidine Gluconate | 49 | 44 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2012-05-03
Frequently asked questions
- What is Randal Ellis's NPI number?
- Randal Ellis's National Provider Identifier (NPI) is 1154689636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randal Ellis's specialty?
- Randal Ellis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Randal Ellis located?
- Randal Ellis's practice location on file with NPPES is 3739 Mt Baker Hwy, Everson, WA 98247-9406.
- What is Randal Ellis's phone number?
- The practice phone number listed in the NPPES registry for Randal Ellis is (360) 592-1100.
- Does Randal Ellis accept Medicare?
- Randal Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randal Ellis's NPI active?
- Yes — Randal Ellis's NPI (1154689636) is active in the NPPES registry as of the last update on 2012-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.