Kathleen Ellsworth, DDS

ActiveIndividual ProviderDentistry
NPI issued: May 27, 2005

Quick Facts

NPI Number
1174526651
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(616) 642-3500
StateMI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1174526651)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (May 27, 2005)
Data source: CMS NPPES

Provider Overview

KATHLEEN ELLSWORTH, DDS is a Dentistry provider based in Saranac, MI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174526651
Provider TypeIndividual Provider
GenderFemale
CredentialDDS
StatusActive
Enumeration DateMay 27, 2005

Practice Location

CitySaranac
StateMI
ZIP Code48881
Phone(616) 642-3500

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateMI

Mailing Address

CitySaranac
StateMI
ZIP Code48881
Phone(616) 642-3500
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1174526651 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1174526651for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174526651 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
125,053
Dentistry Providers in the US

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People Also Ask

What is Kathleen Ellsworth's NPI number?
Kathleen Ellsworth's NPI number is 1174526651, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kathleen Ellsworth's NPI currently active?
Yes, Kathleen Ellsworth's NPI status is Active as of the latest CMS NPPES database updates.
What does Kathleen Ellsworth specialize in?
Kathleen Ellsworth specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Kathleen Ellsworth practice?
Kathleen Ellsworth practices in Saranac, MI 48881.
When was Kathleen Ellsworth's NPI issued?
Kathleen Ellsworth's NPI was issued on May 27, 2005.
What is Kathleen Ellsworth's provider type?
Kathleen Ellsworth is registered as an Individual Provider under CMS NPI Type 1.