OrganizationActive
Ellen Im DDS Inc
NPI 1861091720 · Pediatric Dentistry · Poway, CA
Ellen Im DDS Inc is a Pediatric Dentistry organization in Poway, CA (NPI 1861091720).
Provider details
- NPI number
- 1861091720
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ellen Im, Owner/Operator(858) 679-6660
Specialties & taxonomies
Dental Providers
Dental Providers
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
13422 Pomerado Rd Ste 201
Poway, CA 92064-3548
Phone: (858) 679-6660
Street-level locationGet directions
Mailing address
13422 Pomerado Rd Ste 201
Poway, CA 92064-3548
Other names (DBA / former)
- Doing business as
- Dr. Ellen Im Pediatric Dentistry and Orthodontics
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Frequently asked questions
- What is Ellen Im DDS Inc's NPI number?
- Ellen Im DDS Inc's National Provider Identifier (NPI) is 1861091720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellen Im DDS Inc?
- Ellen Im DDS Inc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Ellen Im DDS Inc located?
- Ellen Im DDS Inc's practice location on file with NPPES is 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548.
- What is Ellen Im DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Ellen Im DDS Inc is (858) 679-6660.
- Who is the authorized official for Ellen Im DDS Inc?
- The authorized official listed on Ellen Im DDS Inc's NPPES record is Ellen Im, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellen Im DDS Inc's NPI active?
- Yes — Ellen Im DDS Inc's NPI (1861091720) is active in the NPPES registry as of the last update on 2021-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.