Mitchell Duckworth, DDS
NPI 1649530601 · Student in an Organized Health Care Education/Training Program · Stony Brook, NY
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitchell Duckworth, DDS is a Student in an Organized Health Care Education/Training Program provider in Stony Brook, NY (NPI 1649530601).
Provider details
- NPI number
- 1649530601
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8926334-9924 (UT)
Specialties & taxonomies
Student, Health Care
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5136 S Cottonwood LnHolladay, UT 84117-7102Phone: (801) 718-6395
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Mitchell Duckworth's NPI number?
- Mitchell Duckworth's National Provider Identifier (NPI) is 1649530601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitchell Duckworth's specialty?
- Mitchell Duckworth is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Mitchell Duckworth located?
- Mitchell Duckworth's practice location on file with NPPES is Stony Brook University Hospital Dept of, Stony Brook, NY 11794-8711.
- What is Mitchell Duckworth's phone number?
- The practice phone number listed in the NPPES registry for Mitchell Duckworth is (631) 444-2557.
- Does Mitchell Duckworth accept Medicare?
- Mitchell Duckworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitchell Duckworth's NPI active?
- Yes — Mitchell Duckworth's NPI (1649530601) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.