Kent L Phillips, D.D.S, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

S3-32 Issued in NV

Practice address

5220 Neil Rd
Reno, NV 89502-6505

Phone

(775) 332-1750

Fax

(775) 332-1753

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

• Kent L. Phillips, D.D.S., M.S., LTB.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
  • NPI 1659406395
  Authorized official Same address or phone
• Kent L. Phillips, D.D.S., M.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reno, NV
  • NPI 1073641916
  Authorized official Same address or phone
• Kent L. Phillips, D.D.S., M.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
  • NPI 1417090499
  Authorized official Same address or phone

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1275661183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 HOLIDAY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117550",
            "telephone_number": "775-851-8490",
            "fax_number": "775-332-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026505",
            "telephone_number": "775-332-1750",
            "fax_number": "775-332-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Phillips
• Beverly Phillips
• Erin Michelle Phillips
• Grace Ellen Phillips
• Kayley Phillips
• Patricia Ann Phillips, CCP
• Revlon Phillips
• Steven Douglas Phillips, MD
• Steven L Phillips, M.D.
• Susan Kelly Phillips, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Reno, NV
• Providers in Reno, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.