Lisa Kay Ross, RDH
Individual provider Active NPI Dental Hygienist · Ellsworth, KS
NPI 1194774422 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1194774422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2364 (KS)
- Practice address
- 223 N Douglas Ave
Ellsworth, KS 67439-3215 - Phone
- (785) 472-3803
- Fax
- (785) 472-3620
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2364 | KS | Yes |
Addresses
Primary practice location
223 N Douglas Ave
Ellsworth, KS 67439-3215
Mailing address
1185 Columbine Cir
Salina, KS 67401-9084
Phone (785) 820-0857
Other providers in Ellsworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.