Kayla Ellis, DDS
Kayla Ellis, DDS is a provider specialising in General Practice Dentistry in Portland, OR, registered under NPI 1003703406. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Portland, based on OpenStreetMap data collected Oct 18, 2026. Parking is available about 699 ft away. The nearest transit stop is 741 ft away, served by Northeast Halsey & 122nd. If you arrive early, there is a coffee shop 675 ft away.
Getting here and what is nearby
Restaurant Akira Sushi 57 ft ~1 min
1718 Northeast 122nd Avenue, Portland 97230
Parking 282 ft ~2 min
Restaurant Chang's Mongolian Grill 385 ft ~2 min
1600 Northeast 122nd Avenue, Portland 97230
Mo-Th 11:30-14:30,17:00-21:00; Fr 11:30-14:30,17:00-22:00; Sa 12:00-15:00,17:00-22:00; Su 12:00-15:00,17:00-21:00
Parking 431 ft ~2 min
Restaurant MOD Pizza 455 ft ~2 min
12311 Northeast Halsey Street, Portland 97230
Mo-Su 10:30-22:00; Fr,Sa 10:30-23:00
Coffee Black Rock Coffee 526 ft ~2 min
Grocery WinCo Foods 596 ft ~3 min
1950 Northeast 122nd Avenue, Portland 97230
Mo-Su 05:00-00:00
Transit Northeast 122nd & Halsey 614 ft ~3 min
Transit Northeast 122nd & Halsey 651 ft ~3 min
Coffee Starbucks 675 ft ~3 min
1510 Northeast 122nd Avenue, Portland 97230
04:30-21:30
Parking 699 ft ~3 min
Transit Northeast Halsey & 122nd 741 ft ~3 min
Gas station Arco 947 ft ~4 min
12140 Northeast Halsey Street, Portland 97220
Convenience ampm 986 ft ~4 min
12140 Northeast Halsey Street, Portland 97220
Convenience 7-Eleven 0.48 mi ~10 min
11366 Northeast Halsey Street, Portland 97220-2026
24/7
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D12194 | OR | General Practice Dentistry primary |
This provider holds licence D12194 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What General Practice covers
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. NUCC Health Care Provider Taxonomy, code 1223G0001X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003703406 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 19, 2025 |
| Last updated | Jun 19, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | DDS |
| Practice address |
1710 NE 122ND AVE Portland, OR 97230 (503) 295-2120 |
| Mailing address |
514 SE BELMONT ST APT 501 Portland, OR 97214 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 7 | 0 | 3 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 5 | 0 | 6 | 4 | 0 |
Sum = 44 · next multiple of 10 = 50 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.