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NPI · 1124850763 · NPPES-sourced

Ellie Wallace DDS

ActiveGeneral Practice Dentistry
NPI Number
1124850763
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(231) 775-9797
License MI · 2901602301
Last Updated
Enumerated
Primary practice addressMI · 49601-7080
7800 US Highway 131 SCadillac, MI 49601-7080
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About this NPIWhat this record shows.

NPI 1124850763 is registered to Ellie Wallace DDS, a General Practice Dentistry practising at 7800 US Highway 131 S in Cadillac, Michigan. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ellie Wallace DDS has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ellie Wallace DDS accepts. To confirm in-network status with your specific health plan, contact Ellie Wallace DDS directly at (231) 775-9797.

Frequently asked

Yes. NPI 1124850763 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (231) 775-9797.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ellie Wallace DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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