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NPI 1114619657
● Active Type 2 · Organization
Randall A. Ellis, Dds, Pllc
Dentist · Texarkana, TX · NPI 1114619657
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Enumerated 2023 · 3 years on NPI
Randall A. Ellis, Dds, Pllc is 1 of 15661 dentist organizations in Texas.
NPI age
3 years
Enumerated 2023-05-23
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ellis
Owner/dentist
Last NPPES update
2023-05-23
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
3 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2023 → 2026
2023-05 Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
4617 Summerhill Rd Ste 3
Texarkana, TX 755032783
📞 9038385506
Mailing address
4617 Summerhill Rd Ste 3
Texarkana, TX 755032783
📞 0398385506
Authorized official
Randall Allen Ellis, DDS
Owner/dentist
📞 9038385506
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dentist
Primary
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
taxonomy 1223G0001X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.