OrganizationActive
Ellingsen Henneberg PLLC
NPI 1215535695 · Dental Clinic/Center · Spokane, WA
Ellingsen Henneberg PLLC is a Dental Clinic/Center organization in Spokane, WA (NPI 1215535695).
Provider details
- NPI number
- 1215535695
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ellingsen Henneberg PLLC
- Organization subpart
- Yes
- Authorized official
- Eric Ellingsen, Owner(509) 924-2866
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2607 S Southeast Blvd Ste B210
Spokane, WA 99223-7614
Phone: (509) 924-2866
Street-level locationGet directions
Mailing address
1215 N Mcdonald Rd Ste 203
Spokane Valley, WA 99216-1557
Other names (DBA / former)
- Doing business as
- Smile Source Spokane
- Doing business as
- Smile Source Spokane
Registry dates
- Enumerated
- 2020-10-16
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Frequently asked questions
- What is Ellingsen Henneberg PLLC's NPI number?
- Ellingsen Henneberg PLLC's National Provider Identifier (NPI) is 1215535695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellingsen Henneberg PLLC?
- Ellingsen Henneberg PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ellingsen Henneberg PLLC located?
- Ellingsen Henneberg PLLC's practice location on file with NPPES is 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614.
- What is Ellingsen Henneberg PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ellingsen Henneberg PLLC is (509) 924-2866.
- Who is the authorized official for Ellingsen Henneberg PLLC?
- The authorized official listed on Ellingsen Henneberg PLLC's NPPES record is Eric Ellingsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellingsen Henneberg PLLC's NPI active?
- Yes — Ellingsen Henneberg PLLC's NPI (1215535695) is active in the NPPES registry as of the last update on 2020-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.