Individual provider

Diana Ellis, D.D.S.

General Practice Dentistry Medicare enrolled

Diana Ellis, D.D.S. is a provider specialising in General Practice Dentistry in Jackson, MI, registered under NPI 1255424214.

Getting there

The practice address on file is 500 N JACKSON ST, Jackson, MI 49201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

500 N JACKSON ST, Jackson, MI 49201 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DJ018840 MI General Practice Dentistry primary

This provider holds licence DJ018840 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
0749595403
Enrollment ID
I20250317002053

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

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
Dental Providers Dentist General Practice

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.

NPI1255424214 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 2, 2006
Last updatedJul 21, 2022
StatusActive
Sole proprietorNo
GenderFemale
CredentialD.D.S.
Practice address 500 N JACKSON ST
Jackson, MI 49201
(517) 748-5500
Fax (517) 780-9286
Mailing address 505 N JACKSON ST
Jackson, MI 49201
Other names Diana Jan-ellis Former Legal Business Name
Other identifiers 744718389 · Medicaid (MI)
88131 · Other (MI)
D801057 · Other (MI)
The last update on file is Jul 21, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1255424214 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 2 5 5 4 2 4 2 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 8 2 8 2 2

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

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.

Common questions

What is NPI number 1255424214?
NPI 1255424214 is the National Provider Identifier assigned to Diana Ellis, D.D.S. in Jackson, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Diana Ellis, D.D.S.?
The phone number on file with NPPES is (517) 748-5500, last updated Jul 21, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Diana Ellis, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255424214 a valid number?
Yes. 1255424214 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.