Kayla Ellis, DDS

  • Portland, OR
  • General practice dentistry
NPI1003703406
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2025
Practice address
1710 Ne 122nd Ave, Portland, OR 97230-1939
Practice phone
Call (503) 295-2120
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Russell Modern Dentistry

Dental practice · Portland, Oregon

See all 2 affiliations

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Kayla Ellis is a general practice dentistry in Portland, Oregon

Kayla Ellis practices at Russell Modern Dentistry in Portland, Oregon.

Kayla Ellis' NPI, 1003703406, was assigned on June 19, 2025. Kayla Ellis holds Oregon license D12194.

NPI and contact details
NPI enumeration date
June 19, 2025
NPI status
Active
Practice phone
(503) 295-2120
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Kayla Ellis practices at Russell Modern Dentistry in Portland, Oregon

Kayla Ellis' primary practice is Russell Modern Dentistry, at 1710 Ne 122nd Ave, Portland, OR 97230-1939. The practice phone is (503) 295-2120.

  • Russell Modern Dentistry
    1710 Ne 122nd Ave, Portland, OR 97230-1939Phone(503) 295-2120

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Kayla Ellis is affiliated with 1 site of care and 1 medical group

Kayla Ellis' primary practice is Russell Modern Dentistry in Portland, Oregon. Dmand AI also links Kayla Ellis to 1 medical group, named with a free account.

Russell Modern DentistryDental practice · Portland, OregonPrimary
1 medical groupName with a free account
See all 2 affiliations for Kayla Ellis

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Kayla Ellis' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kayla Ellis practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Russell Modern DentistryAvailable with a free account
+1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Kayla Ellis is one of 849 general practice dentistrys in Oregon

General practice is Kayla Ellis' primary specialty in the NPI Registry, under taxonomy code 1223G0001X. Kayla Ellis is licensed in Oregon.

Specialties and state licenses

  • General practice dentistry, OregonPrimaryLicense D12194 · taxonomy 1223G0001X

General practice dentistrys near Kayla Ellis

Counts of general practice dentistrys with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Kayla Ellis' patients have a median age of 26

Across all payers, Dmand AI patient panel data puts Kayla Ellis' median patient age at 26, with 0% women.

Kayla Ellis' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 26

Patient panel by sex, all payers

  • Women0%
  • Men100%

Source: Dmand AI Patient Panel Data

Sources for Kayla Ellis's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kayla Ellis

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kayla Ellis' NPI number?

Kayla Ellis' NPI number is 1003703406. It was assigned on June 19, 2025, and it is active in the NPI Registry.

What does Kayla Ellis specialize in?

Kayla Ellis is a general practice dentistry in Portland, Oregon. The primary specialty in the NPI Registry is General Practice Dentistry (taxonomy code 1223G0001X).

Where does Kayla Ellis practice?

Kayla Ellis practices at 1710 Ne 122nd Ave, Portland, OR 97230-1939. Kayla Ellis' primary practice is Russell Modern Dentistry in Portland, Oregon. Dmand AI also links Kayla Ellis to 1 medical group.

What is Kayla Ellis' office phone number?

The practice phone on file for Kayla Ellis is (503) 295-2120.

What is Kayla Ellis' medical license number?

Kayla Ellis holds Oregon license D12194.

How long has Kayla Ellis been practicing?

Kayla Ellis' NPI was assigned in 2025.

Selling to general practice practices?

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