Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Charles Lee Ellis, DDS, MD

Oral and Maxillofacial Surgery (Dentist) in Green Bay, WI · enumerated 2006 · practices at Bay Oral Surgery & Implant Center, Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013098698

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Charles Lee Ellis

Credential DDS, MD

Sex Male

Practice address Green Bay, WI, 54304

Phone (920) 499-0471

Fax (920) 499-8312

Enumeration date Oct 18, 2006

Last updated in NPPES Aug 20, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

122300000X Dentist Dental Providers · License 8919 (NC) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 0401411258 (VA) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 019022235 (IL) Secondary

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 0101058265 (VA) Secondary

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 8919 (NC) Secondary

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 8919 (NC) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
5914023	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Charles Ellis?

Charles Ellis is registered in NPPES with the primary taxonomy of Oral and Maxillofacial Surgery (Dentist). The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Bay Oral Surgery & Implant Center, Ltd Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI NPI 1427270776

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-20.