Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ellis Village Dental Group, Prof. Corp.

Q: What is the NPI number for Ellis Village Dental Group, Prof. Corp.?

The NPI for Ellis Village Dental Group, Prof. Corp. is 1245145051, a Type 2 (organization) record in the CMS NPPES registry.

General Practice Dentistry in Tracy, CA · enumerated 2026 · authorized official Khaled Entabi, Owner.

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

National Provider Identifier

1245145051

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Registry record

Entity type Organization (Type 2)

Legal business name Ellis Village Dental Group, Prof. Corp.

Practice address 2100 Ellis Town Dr Ste 105, Tracy, CA, 95377

Phone (209) 395-2393

Fax (209) 229-4303

Enumeration date Aug 17, 2026

Last updated in NPPES Aug 17, 2026

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Khaled Entabi

Title Owner

Phone (209) 395-2393

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

Who is the authorized official for Ellis Village Dental Group, Prof. Corp.?

NPPES lists Khaled Entabi (Owner) as the authorized official for this organization.

What is the NPI number for Ellis Village Dental Group, Prof. Corp.?

The NPI for Ellis Village Dental Group, Prof. Corp. is 1245145051, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-17.