CRAIG C ELLSWORTH DDS INC
NPI 1043635543
Preferred Provider Organization in Spokane Valley, WA

Q: What is Craig C Ellsworth Dds Inc's NPI number?

The NPI number for Craig C Ellsworth Dds Inc is 1043635543. It was assigned to this organization in the NPPES registry on February 20, 2014.

Q: What is Craig C Ellsworth Dds Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since February 20, 2014

12209 E. MISSION AVE SUITE 1, SPOKANE VALLEY, WA 99206(509) 924-1580(509) 342-7890 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Craig C Ellsworth Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG C ELLSWORTH DDS INC (NPI 1043635543) is a healthcare organization registered as a preferred provider organization in Spokane Valley, Washington and active in the NPI registry since February 2014. The organization lists Craig Cooper Ellsworth, President, as its authorized official.

NPPES Registry Identity

NPI1043635543

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameCRAIG C ELLSWORTH DDS INC

Location Address12209 E. MISSION AVE SUITE 1Spokane Valley, WA 99206

Mailing Address12209 E. Mission Ave Suite 1Spokane Valley, WA 99206 · (509) 924-1580 · Fax (509) 342-7890

Phone(509) 924-1580

Fax(509) 342-7890

Organization SubpartNo

Authorized OfficialCraig Cooper EllsworthPresident · (509) 924-1580

Enumeration DateFebruary 20, 2014

Last NPPES UpdateFebruary 3, 2026

NPPES CertifiedFebruary 3, 2026

✔ NPI 1043635543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in WA · DE60390327

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

12209 E. MISSION AVE SUITE 1, Spokane Valley, WA 99206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig C Ellsworth Dds Inc's NPI number?

The NPI number for Craig C Ellsworth Dds Inc is 1043635543. It was assigned to this organization in the NPPES registry on February 20, 2014.

Where is Craig C Ellsworth Dds Inc located?

Craig C Ellsworth Dds Inc is located at 12209 E. Mission Ave Suite 1, Spokane Valley, WA 99206. The listed phone number is (509) 924-1580.

What is Craig C Ellsworth Dds Inc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Craig C Ellsworth Dds Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Craig C Ellsworth Dds Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Craig C Ellsworth Dds Inc was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.