Individual provider Active NPI

James T. Phillips, D.D.S.

  • General Practice Dentistry
  • Saint George, UT
National Provider Identifier
1104074079
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28791 Issued in CA
Practice address
335 E Saint George Blvd Ste 201
Saint George, UT 84770-7106
Phone
(435) 634-8338
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10964170-9921 UT
General Practice Dentistry 1223G0001X 28791 CA Primary

Addresses

Primary practice location

335 E Saint George Blvd Ste 201
Saint George, UT 84770-7106

Mailing address

335 E Saint George Blvd Ste 201
Saint George, UT 84770-7106
Phone (435) 634-8338

Other practice location 1

535 N Akers St
Visalia, CA 93291-5173
Phone (559) 733-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28791CAMDClinical Social Worker
10964170-9921UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip C Hall, DDS, LC CurrentSince Feb 21, 2024 Accepting new patients
Fox Valley Family Dentistry Dentist Past Accepting new patients
Brian Rosell DDS PLLC PastSince Nov 28, 2021 Accepting new patients

Locations

335 E Saint George Blvd
Ste 201
St George, UT 84770
Phone (435) 634-8338

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1104074079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E SAINT GEORGE BLVD STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707106",
            "telephone_number": "435-634-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E SAINT GEORGE BLVD STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707106",
            "telephone_number": "435-634-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 N Akers St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915173",
            "country_code": "US",
            "telephone_number": "559-733-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10964170-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.