Alix Phillips, DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3837 Issued in AZ

Legal business name

ALIX PHILLIPS, DMD, INC.

Practice address

90 W Calle de Las Tiendas
Ste. 150
Green Valley, AZ 85614-4295

Phone

(520) 393-7500

Fax

(520) 399-0147

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Virginia Alix Phillips, DMD

Title

Doctor/Owner

Phone

(520) 393-7500

Specialties & licenses 1

Addresses

Other names 1

• Dental Artistry Doing business as

Locations

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1508046327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W CALLE DE LAS TIENDAS",
            "address_2": "STE. 150",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144295",
            "telephone_number": "520-393-7500",
            "fax_number": "520-399-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W CALLE DE LAS TIENDAS",
            "address_2": "STE. 150",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856144295",
            "telephone_number": "520-393-7500",
            "fax_number": "520-399-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIX PHILLIPS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ALIX",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "520-393-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Artistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Green Valley, AZ
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.