Ellen Im DDS Inc
Ellen Im DDS Inc is a healthcare organization registered as Pediatric Dentistry in Poway, CA, holding Type 2 (organization) NPI 1861091720 since 2020. The authorized official on file is Ellen Im, Owner/Operator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861091720 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ellen Im DDS Inc |
| Other name | <Unavail> |
| Practice address | 13422 POMERADO RD STE 201, Poway, CA, 92064 |
| Phone | 8586796660 |
| Enumeration date | 2020-10-21 |
| Last updated in NPPES | 2021-05-06 |
Authorized official
| Name | Ellen Im |
|---|---|
| Title | Owner/Operator |
| Phone | 8586796660 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Secondary | — | — |
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Ellen Im DDS Inc NPI: 1861091720 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 13422 POMERADO RD STE 201, Poway, CA, 92064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023029220 | Ellen Im | Individual | Pediatric Dentistry | Poway, CA |
| 1790987972 | Clarence Tang | Individual | Oral and Maxillofacial Surgery (Dentist) | Poway, CA |
| 1962987602 | Joel Wong | Individual | Pediatric Dentistry | Poway, CA |
Verify this record
Cross-check NPI 1861091720 against the authoritative CMS record: view Ellen Im DDS Inc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Ellen Im DDS Inc?
Who is the authorized official for Ellen Im DDS Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-06.