Sydney Rae McPhillips, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14094 Issued in MN

Practice address

1090 Shingle Creek Xing
Brooklyn Center, MN 55430-2684

Phone

(651) 724-9933

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1487131488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 SHENANDOAH ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046548",
            "telephone_number": "612-210-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SHINGLE CREEK XING",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302684",
            "telephone_number": "651-724-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHILLIPS",
        "first_name": "SYDNEY",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Michael McCormick, MD
• Martin McDonal
• Starr Nashay McDonald
• Whitney Marie McElhone, MS, LPCC
• Candace McEvoy, MSW, LICSW
• Abigail McVay
• Wedu Melkamu
• Acacia Jolene-Clarice Merrill
• Allisen Chloe Merrill, MA, RBT
• Katherine Frances Metcalf, MS, LPCC

• General Practice Dentistry in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.