DR. BENJAMIN ELLSWORTH (NPI# 1760774558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760774558 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ELLSWORTH |
| Credential | D.D.S. |
| Practice Address |
505 Bachelor Button St Las Vegas NV 89138-6077 |
| Practice Telephone | 4247447695 |
| Mailing Telephone | 4247447695 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6506 | NV | Dental Providers |
| Street Address |
505 BACHELOR BUTTON ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89138-6077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162848 | Desert Teleheart Inc | Internal Medicine | 12384 Middle Creek St, Las Vegas, NV 89138 | 2020-10-19 |
| 1164082053 | Mary Joy Inoceda De Guzman-walters | Dietitian, Registered | 11768 Via Esperanza Ave, Las Vegas, NV 89138 | 2019-06-13 |
| 1063956712 | Aubrey Arcadipane | Rehabilitation Practitioner | 100 Park Vista Drive, Apt 1115, Las Vegas, NV 89138 | 2016-12-15 |
| 1891239182 | Andrea Franks | Speech-Language Pathologist | 12113 Las Hurdes Ave, Las Vegas, NV 89138 | 2016-12-06 |
| 1285924605 | Jesse Falk | Dentist | 6200 N Durango Dr, Suite 100, Las Vegas, NV 89138 | 2011-04-19 |
| 1477705853 | Pamela Kaur Simon | Counselor | 768 Joshua Star Court, Las Vegas, NV 89138 | 2008-10-16 |
| 1013073089 | Andrew E Sheep | Emergency Medicine | 542 Las Ocas Ct, Las Vegas, NV 89138 | 2006-12-27 |
| 1336593912 | Linda Lou | Student in an Organized Health Care Education/Training Program | 12119 High Country Ln, Las Vegas, NV 89138-1101 | 2016-04-20 |
| 1336433754 | Angelica Maria Draskovich | Marriage & Family Therapist | 12242 Terrace Verde Ave, Las Vegas, NV 89138-1122 | 2011-06-02 |
| 1043301948 | Kiet T Huynh | Pharmacist | 433 Paso De Montana St, Las Vegas, NV 89138-1130 | 2006-09-27 |
| Find all providers in zip 89138 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710259254 | James Rogers | Dentist | 3575 S Town Center Dr, Suite 110, Las Vegas, NV 89135-3045 | 2012-01-30 |
| 1518285808 | Curry H. Leavitt | Dentist | 7475 W Sahara Ave, 101, Las Vegas, NV 89117-2867 | 2010-05-11 |
| 1588861348 | Eric Bernzweig | Dentist | 6835 W Charleston Blvd, Las Vegas, NV 89117 | 2007-06-27 |
| 1235269838 | Richard Alan Mecall | Dentist | 2327 Green Mountain Ct, Las Vegas, NV 89135-1536 | 2007-03-06 |
| 1497883656 | James K. Rogers, D.d.s., M.s., L.t.d. | Dentist | 3575 S. Town Center Dr., Suite 110, Las Vegas, NV 89135 | 2007-03-01 |
| 1679680920 | Allen Wei-lun Huang | Dentist | 2430 E Harmon, Ste #6, Las Vegas, NV 89121 | 2006-08-24 |
| 1851329189 | Jeffrey Wang | Dentist | 7151 Cascade Valley Ct, 107, Las Vegas, NV 89128-0496 | 2006-06-28 |
| 1891156287 | Ahdperio | Dentist | 6669 Smoke Ranch Rd, Las Vegas, NV 89108-8419 | 2016-03-11 |
| 1134535081 | Brian Paul Mantor | Dentist | 3811 W Charleston Blvd, Suite 201, Las Vegas, NV 89102-1836 | 2014-07-10 |
| 1396906863 | David James Trylovich | Dentist | 3811 W Charleston Blvd, #201, Las Vegas, NV 89102-1846 | 2008-06-18 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.