Ellie Song, DDS
NPI 1184971160 · Dentist · Tukwila, WA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellie Song, DDS is a Dentist provider in Tukwila, WA (NPI 1184971160).
Provider details
- NPI number
- 1184971160
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DE60801039 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
13 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
4 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 12600 Sw Crescent St Ste 190Beaverton, OR 97005-1694Phone: (503) 718-3675Fax: (503) 924-6722
- 12600 Sw Crescent St Ste 190Beaverton, OR 97005-1694Phone: (503) 718-3675Fax: (503) 924-6722
- 22640 Se 4th St Ste 212Sammamish, WA 98074Phone: (425) 979-3168
Registry dates
- Enumerated
- 2012-08-09
- Last updated
- 2024-12-12
- Certified
- 2024-12-12
Frequently asked questions
- What is Ellie Song's NPI number?
- Ellie Song's National Provider Identifier (NPI) is 1184971160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellie Song's specialty?
- Ellie Song is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ellie Song located?
- Ellie Song's practice location on file with NPPES is 13030 Military Rd S Ste 210, Tukwila, WA 98168-3080.
- What is Ellie Song's phone number?
- The practice phone number listed in the NPPES registry for Ellie Song is (206) 839-3600.
- Does Ellie Song accept Medicare?
- Ellie Song is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellie Song's NPI active?
- Yes — Ellie Song's NPI (1184971160) is active in the NPPES registry as of the last update on 2024-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.