Jerry R Ellis DDS PC
NPI 1982304267 · Customized Equipment (DME) · Midlothian, TX
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry R Ellis DDS PC is a Customized Equipment (DME) organization in Midlothian, TX (NPI 1982304267).
Provider details
- NPI number
- 1982304267
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Jerry Ellis, Owner/Dentist(972) 775-2345
Specialties & taxonomies
Suppliers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Other name
- Jerry R Ellis DDS PC
- Other name
- Jerry R Ellis DDS PC
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-04-20
- Certified
- 2023-04-20
Frequently asked questions
- What is Jerry R Ellis DDS PC's NPI number?
- Jerry R Ellis DDS PC's National Provider Identifier (NPI) is 1982304267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry R Ellis DDS PC?
- Jerry R Ellis DDS PC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Jerry R Ellis DDS PC located?
- Jerry R Ellis DDS PC's practice location on file with NPPES is 404 W Main St, Midlothian, TX 76065-2946.
- What is Jerry R Ellis DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Jerry R Ellis DDS PC is (972) 775-2345.
- Does Jerry R Ellis DDS PC accept Medicare?
- Jerry R Ellis DDS PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jerry R Ellis DDS PC?
- The authorized official listed on Jerry R Ellis DDS PC's NPPES record is Jerry Ellis, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry R Ellis DDS PC's NPI active?
- Yes — Jerry R Ellis DDS PC's NPI (1982304267) is active in the NPPES registry as of the last update on 2023-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.