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

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: July 19, 2026.

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
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

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043635543, enumerated as an "organization" on February 20, 2014.

The provider is located at 12209 E. MISSION AVE SUITE 1 SPOKANE VALLEY, WA 99206 and the phone number is (509) 924-1580.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.