DR. RICHARD C ELLINGSEN (NPI# 1790013332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790013332 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C ELLINGSEN |
| Practice Address |
12109 E Broadway Ave Ste B Spokane Valley WA 99206-6133 |
| Practice Telephone | 5099260570 |
| Practice Fax Number | 5099219163 |
| Mailing Telephone | 5099260570 |
| Mailing Fax Number | 5099219163 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00006352 | WA | Dental Providers |
| Street Address |
12109 E BROADWAY AVE STE B |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99206-6133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558446278 | Ellingsen -paxton Dds Ps | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2006-10-25 |
| 1235467879 | Diane S Paxton | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2009-11-19 |
| 1275861825 | Bret M Johnson | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821398751 | Jacob E Dabell | Dentist | 720 N Evergreen Rd, Suite 101, Spokane Valley, WA 99216-0856 | 2010-10-26 |
| 1053485524 | Damom & Magnuson Orthodontics | Dentist | 12406 E Mission Ave, Spokane Valley, WA 99216-1051 | 2006-11-17 |
| 1558446278 | Ellingsen -paxton Dds Ps | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2006-10-25 |
| 1477596435 | David Lloyd Wilkinson | Dentist | 9019 E Mission Ave, Spokane Valley, WA 99212-2534 | 2006-06-14 |
| 1346528825 | Dabell Paventy Pllc | Dentist | 720 N Evergreen Rd, Ste 101, Spokane Valley, WA 99216-0856 | 2011-08-01 |
| 1821316340 | Paul L Damon | Dentist | 12406 E Mission Ave, Spokane Valley, WA 99216-1051 | 2010-05-07 |
| 1235467879 | Diane S Paxton | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2009-11-19 |
| 1275861825 | Bret M Johnson | Dentist | 12109 E Broadway Ave Ste B, Spokane Valley, WA 99206-6133 | 2009-11-19 |
| 1790831782 | Pramod Sinha Dds Ms | Dentist | 12615 E Mission Ave, Suite 110, Spokane Valley, WA 99216-1047 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99206 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.