DR. BENJAMIN ELLSWORTH D.D.S.
NPI 1760774558
Dentist - Periodontics in Las Vegas, NV

Q: What is Benjamin Ellsworth's NPI number?

The NPI number for Benjamin Ellsworth is 1760774558. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Q: What is Benjamin Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since May 11, 2011PECOS Enrolled

505 BACHELOR BUTTON ST, LAS VEGAS, NV 89138(424) 744-7695 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Benjamin Ellsworth D.d.s. NPPES

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

DR. BENJAMIN ELLSWORTH D.D.S. (NPI 1760774558) is an individual periodontics provider in Las Vegas, Nevada, licensed in Nevada (6506) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760774558

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. BENJAMIN ELLSWORTHCredential: D.D.S.

Location Address505 BACHELOR BUTTON STLas Vegas, NV 89138-6077

Mailing Address505 Bachelor Button StLas Vegas, NV 89138-6077 · (424) 744-7695

Phone(424) 744-7695

Sole ProprietorYes

Enumeration DateMay 11, 2011

Last NPPES UpdateAugust 5, 2016

✔ NPI 1760774558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NV · 6506

Definition

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.

505 BACHELOR BUTTON ST, Las Vegas, NV 89138

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Ellsworth D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Benjamin Ellsworth's NPI number?

The NPI number for Benjamin Ellsworth is 1760774558. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Benjamin Ellsworth located?

Benjamin Ellsworth practices at 505 Bachelor Button St, Las Vegas, NV 89138. The listed phone number is (424) 744-7695.

What is Benjamin Ellsworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Benjamin Ellsworth enrolled in Medicare?

Yes. Benjamin Ellsworth is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Ellsworth accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Benjamin Ellsworth 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 Benjamin Ellsworth was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.