Daniel Leland Ellsworth

Primary specialty

DriverTaxonomy code 172A00000X

License

514AG2680 Issued in IA

Practice address

1709 35TH Ave W Unit 1
Spencer, IA 51301-2550

Phone

(712) 260-0090

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1376298232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 MCNAUGHTON WAY",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012873",
            "telephone_number": "712-260-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 35TH AVE W UNIT 1",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513012550",
            "telephone_number": "712-260-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "DANIEL",
        "middle_name": "LELAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IA",
            "license": "514AG2680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Jones & Geyer, PC
• Brian John Dvorak, M.D.
• Shaela Eckard, DC
• Sharon B Eckhart, ARNP, CS
• Jason Ted Ellis, RPH
• Ema Basie Enriquez, TCADC
• Judy Mary Erickson, MNT
• Mackenzie Mae Erickson, OTR/L, CLT
• Joshua John Espelund, M.D.
• Debra Ann Estes, LISW

• Driver in Spencer, IA
• Providers in Spencer, IA by specialty
• Driver in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.