Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083724843 Individual Practitioner Male Practitioner

Dr. Robert Lynn Ellis , DDS

Dentist • Rigby, ID

Professional Overview & Biography Verified Profile Summary

Dr. Robert Ellis, DDS is a registered healthcare professional specializing in Dentist in Rigby, ID. Practice services are available at 143 1/2 E MAIN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

143 1/2 E Main

Rigby, ID 83442

Telephone 2087450400
Fax 2087455005
Associated Practice Facility / Clinic
🏢 West Wind Dental Facility NPI 1891478723

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Rigby, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Rigby, ID (448 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ID D3529

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
806083700 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1750066544

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address June 22, 2023

Registered at 243 E FREMONT AVE, RIGBY, ID 834421410 (Tel: 2087450400)

NPI Profile Active September 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2012

Registered at 143 1/2 E MAIN, RIGBY, ID 83442 (Tel: 2087450400)

📍
Updated Business Mailing Address September 05, 2012

Registered at 143 1/2 E MAIN, RIGBY, ID 83442 (Tel: 2087450400)

👤
Provider Name / Credentials Updated September 05, 2012

Recorded as ROBERT ELLIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2012

Dentist (License #D3529 in ID)

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083724843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: June 22, 2023
Sole Proprietor: No

Mailing Address

243 E Fremont Ave

Rigby, ID 834421410

Phone: 2087450400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.