Ellsworth Dental LP
NPI 1992589444ActiveOrganization· Dentist, General Practice· Henderson, NV
Dentist, General Practice in Henderson, Nevada, registered in NPPES in August 2023. The authorized official on file is Shane L. Ellswoth, DMD, Managing Member.
Overview
| NPI | 1992589444 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2023 |
| Last updated in NPPES | Nov 26, 2023 |
| Certified by provider | Nov 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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