ALEXIS RACHEL PHILLIPS (NPI# 1346771904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346771904 |
| Entity Type | Individual |
| Full Name | ALEXIS RACHEL PHILLIPS |
| Credential | D.M.D. |
| Practice Address |
136 E Mallard Dr Boise ID 83706-3975 |
| Mailing Address |
130 National Dr Johns Creek GA 30097-2079 |
| Practice Telephone | 2085005437 |
| Practice Fax Number | 2089086178 |
| Mailing Telephone | 7708561308 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-5002-PD | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | PPO | 1346771904 | 01 |
| ID | 1346771904 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Burnet Ave, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229 | 7708561308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709674 | Alexis Phillips | Behavior Technician | 1519 York Rd, Lutherville, MD 21093-5611 | 2020-08-06 |
| 1427680099 | Alexis Rae Phillips | Physical Therapy Assistant | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2020-02-11 |
| 1003477795 | Alexis Phillips | Case Manager/Care Coordinator | 4111 Southpoint Blvd, Columbus, OH 43207-4988 | 2019-06-24 |
| 1720588130 | Alexis N. Phillips | Social Worker | 2171 Bridgeport Dr, Hamilton, OH 45013-5193 | 2018-02-13 |
| 1932655107 | Alexis Ann Phillips | Student in an Organized Health Care Education/Training Program | 302 E Buchtel Ave, Akron, OH 44325-0001 | 2016-08-28 |
| 1417396987 | Alexis Michele Phillips | Pediatrics | 17903 W Lake Houston Pkwy, Suite 202, Atascocita, TX 77346-3953 | 2013-06-18 |
| Street Address |
136 E MALLARD DR |
| City | BOISE |
| State | ID |
| Zip Code | 83706-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014154 | John T Kalange | Dentist | 136 E Mallard Dr, Boise, ID 83706-3975 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679665822 | Dentistry for Children | Dentist | 305 E Jefferson, Suite 103, Boise, ID 83712 | 2006-09-28 |
| 1235170044 | Roy H Rogers | Dentist | 1564 S Timesquare Ln, Boise, ID 83709-8266 | 2006-06-10 |
| 1962456632 | Scott Freeman | Dentist | 6363 Emerald, Boise, ID 83904 | 2006-05-19 |
| 1427012046 | Rodman Owen Emory | Dentist | 13014 W Persimmon Ln, Boise, ID 83713-1986 | 2006-04-12 |
| 1568902286 | Treasure Valley Pediatric Dentistry | Dentist | 1564 S Timesquare Ln, Boise, ID 83709-8266 | 2017-02-28 |
| 1629483987 | Blair Pediatric Dentistry PC | Dentist | 5360 N Eagle Rd, Suite 103, Boise, ID 83713-4901 | 2014-06-25 |
| 1801059209 | Cheryl Higer | Dentist | 305 E Jefferson St, Boise, ID 83712-6273 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657010 | Rigby Pediatric Dental Pllc | Dentist | 688 Rigby Lake Circle, Suite 4, Rigby, ID 83442 | 2020-04-03 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1902325749 | Cherry Lane Kids Dentistry | Dentist | 1558 N Crestmont Dr Ste A, Meridian, ID 83642-2194 | 2017-09-13 |
| 1922462142 | Our Town Family Dentistry | Dentist | 39 W Idaho St, Weiser, ID 83672-1943 | 2016-04-13 |
| 1720447097 | Brock Coletti | Dentist | 3235 N Towerbridge Way Ste 200, Meridian, ID 83646-5721 | 2016-02-15 |
| 1154799047 | Smiles 4 Kids Blackfoot Pllc | Dentist | 621 Jensen Grove Dr, Blackfoot, ID 83221-1685 | 2015-09-09 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1679812002 | Dentistry for Kids Pllc | Dentist | 625 E Alameda Rd., Pocatello, ID 83201 | 2013-02-05 |
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.