Andrea Michelle McPhillips, DDS; MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

D22386 Issued in TX

Practice address

605 Vantage Dr
Stephenville, TX 76401-1850

Phone

(254) 965-2541

Fax

(254) 965-4531

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 28, 2018 through Aug 28, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dentate PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Nacogdoches, TX
  • NPI 1487623104
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1114188729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 VANTAGE DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011850",
            "telephone_number": "254-965-2541",
            "fax_number": "254-965-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 VANTAGE DR",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011850",
            "telephone_number": "254-965-2541",
            "fax_number": "254-965-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHILLIPS",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "DDS; MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22386",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "D22386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford McKennon, SLPA
• Tina Beth McLean, RN,BSN,CNOR,RNFA
• Janie McMillion, M.D.
• Michael Scott McNeal, OD
• Hayden Brock McPherson
• Jennifer McQuerry
• Sameer Mehta
• Paulina Meneses
• Argenis Merino Morales
• Elizabeth V. Mewhinney, LPC

• Oral & Maxillofacial Surgery (D.M.D.) in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.