Ty Ellsworth, DMD
NPI 1699124123 · Dentist · Show Low, AZ
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ty Ellsworth, DMD is a Dentist provider in Show Low, AZ (NPI 1699124123).
Provider details
- NPI number
- 1699124123
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D009461 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
10 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-06
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Frequently asked questions
- What is Ty Ellsworth's NPI number?
- Ty Ellsworth's National Provider Identifier (NPI) is 1699124123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ty Ellsworth's specialty?
- Ty Ellsworth is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Ty Ellsworth located?
- Ty Ellsworth's practice location on file with NPPES is 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901-7955.
- What is Ty Ellsworth's phone number?
- The practice phone number listed in the NPPES registry for Ty Ellsworth is (928) 537-4300.
- Does Ty Ellsworth accept Medicare?
- Ty Ellsworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ty Ellsworth's NPI active?
- Yes — Ty Ellsworth's NPI (1699124123) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.