Elise Deringer, DDS
Dentist, General Practice in Ellensburg, WA. Individual provider (NPI-1).
NPI number1124633243
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1124633243
- Entity type
- Individual (NPI-1)
- Name
- Elise Deringer
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2020
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | TP61099581 | WA | Yes |
Practice location
2401 W Dolarway RdEllensburg, WA 98926-9309
Phone 509-925-6553
Mailing address
2401 W Dolarway RdEllensburg, WA 98926-9309
Phone 509-925-6553
Other practice locations
206 W 1st St
Cle Elum, WA 98922-1108
Cle Elum, WA 98922-1108
Phone 509-674-2307
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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