OrganizationActive
Mervin L. Ellstrom DDS, Inc
NPI 1912121781 · General Practice Dentistry · Moreno Valley, CA
Mervin L. Ellstrom DDS, Inc is a General Practice Dentistry organization in Moreno Valley, CA (NPI 1912121781).
Provider details
- NPI number
- 1912121781
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mervin Ellstrom, Owner President(951) 242-3431
- License
- 24928 (CA)
Specialties & taxonomies
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
12900 Perris Blvd
Suite 101
Moreno Valley, CA 92553-4135
Phone: (951) 242-3431
Fax: (951) 242-7570
Street-level locationGet directions
Mailing address
12900 Perris Blvd
Moreno Valley, CA 92553-4135
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2010-01-07
Frequently asked questions
- What is Mervin L. Ellstrom DDS, Inc's NPI number?
- Mervin L. Ellstrom DDS, Inc's National Provider Identifier (NPI) is 1912121781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mervin L. Ellstrom DDS, Inc?
- Mervin L. Ellstrom DDS, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Mervin L. Ellstrom DDS, Inc located?
- Mervin L. Ellstrom DDS, Inc's practice location on file with NPPES is 12900 Perris Blvd, Moreno Valley, CA 92553-4135.
- What is Mervin L. Ellstrom DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mervin L. Ellstrom DDS, Inc is (951) 242-3431.
- Who is the authorized official for Mervin L. Ellstrom DDS, Inc?
- The authorized official listed on Mervin L. Ellstrom DDS, Inc's NPPES record is Mervin Ellstrom, Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mervin L. Ellstrom DDS, Inc's NPI active?
- Yes — Mervin L. Ellstrom DDS, Inc's NPI (1912121781) is active in the NPPES registry as of the last update on 2010-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.