Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Ty Ellsworth, DMD
Dentist in Show Low, AZ · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1699124123
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Registry record
Entity type Individual (Type 1)
Name Ty Ellsworth
Credential DMD
Sex Male
Practice address 2650 E Show Low Lake Rd Ste 1, Show Low, AZ, 85901
Phone (928) 537-4300
Fax (928) 532-6901
Enumeration date Jun 6, 2016
Last updated in NPPES Apr 21, 2026
Taxonomy & licenses
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees.
About the DMD credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Ty Ellsworth practice?
The practice location on file with NPPES is in Show Low, AZ. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Ty Ellsworth?
The National Provider Identifier (NPI) for Ty Ellsworth is 1699124123, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all → William Smith Marriage & Family Therapist · Show Low, AZ NPI 1659411668 Gina Silveira Nurse Practitioner · Show Low, AZ NPI 1407302300 Elizabeth Miller Family Nurse Practitioner · Show Low, AZ NPI 1154860765 Amanda Fetzner Professional Counselor · Show Low, AZ NPI 1437660479 Alison Iverson Family Nurse Practitioner · Show Low, AZ NPI 1003570128 Maria-Luz Sotomayor Nurse Practitioner · Show Low, AZ NPI 1457098634 Jill Navarro Dental Hygienist · Show Low, AZ NPI 1801744396
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-21.