Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508243775 Individual Practitioner Female Practitioner

Dr. Alyssa Ellsworth , DDS

Dentist - General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Alyssa Ellsworth, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boulder, CO. Practice services are available at 4150 DARLEY AVE STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4150 Darley Ave Ste 3

Boulder, CO 803056537

Telephone 3034990013
Associated Practice Facility / Clinic
🏢 Priya Uppal Dds Pllc Facility NPI 1700528973

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 00202776

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

10000 Commons St

Lone Tree, CO 801245501

Phone: 3039994578

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Lori Kemmet , DDS

Dentist - General Practice

NPI 1659574994

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 09, 2019

Registered at 4150 DARLEY AVE STE 3, BOULDER, CO 803056537 (Tel: 3034990013)

📍
Updated Business Mailing Address January 09, 2019

Registered at 2258 W 35TH AVE, DENVER, CO 802112908 (Tel: 3148099609)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2016

Registered at 10000 COMMONS ST, LONE TREE, CO 801245501 (Tel: 3039994578)

📍
Updated Business Mailing Address June 28, 2016

Registered at 3309 BLAKE ST, SUITE 211, DENVER, CO 802052465 (Tel: 3148099609)

👤
Provider Name / Credentials Updated June 28, 2016

Recorded as ALYSSA ELLSWORTH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

Dentist (License #00202776 in CO)

🟢
Initial NPI Registration & Enumeration April 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508243775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2015
Last Update: January 09, 2019
Sole Proprietor: No

Mailing Address

2258 W 35th Ave

Denver, CO 802112908

Phone: 3148099609

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.