Craig C Ellsworth DDS Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DE60390327 Issued in WA

Legal business name

CRAIG C ELLSWORTH DDS INC

Practice address

12209 E. Mission Ave Suite 1
Spokane Valley, WA 99206

Phone

(509) 924-1580

Fax

(509) 342-7890

NPI assigned

Feb 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Cooper Ellsworth, DDSNPI 1588795736

Title

President

Phone

(509) 924-1580

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig C. Ellsworth, DDS

  • Dentist
  • Spokane Valley, WA
  • NPI 1588795736
  NPD (past) Authorized official
• Scott James Crews, DDS

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1417911124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1043635543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 E. MISSION AVE SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-924-1580",
            "fax_number": "509-342-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 E. MISSION AVE SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-924-1580",
            "fax_number": "509-342-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG C ELLSWORTH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ELLSWORTH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-924-1580",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "DE60390327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lynn Cox, LMP
• Wilfred Welby Cox, MD
• CP Spokane Wa HH, LLC
• CPF Breakthrough, LLC
• Juliea Crabtree
• Craig D. Anglesey
• Brenda Lynn Craig, CPMC, NBHWC
• Paul Martin Craig, M.D.
• Benjamin Crain
• Shad Lee Cramer

• Preferred Provider Organization in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.