Jeffrey Joseph Phillips, D.D.S.,M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4603 Issued in WI

Practice address

5605 Odana Rd
Madison, WI 53719-1207

Phone

(608) 271-9293

Fax

(608) 204-9216

NPI assigned

Nov 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phillips Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, WI
  • NPI 1104999796
  NPD (past) Authorized official
• Advanced Orthodontics of Wisconsin

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, WI
  • NPI 1215388616
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518030196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191207",
            "telephone_number": "608-271-9293",
            "fax_number": "608-204-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191207",
            "telephone_number": "608-271-9293",
            "fax_number": "608-204-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "4603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33722200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Phillips
• Carol Jean Phillips
• Cynthia J Phillips, NP
• Haileigh Marie Phillips, MFT-IT
• Isiah Phillips
• Jill E Phillips
• Kimberly Phillips
• Lakeatia Phillips
• Laura Anne Phillips, M.D.
• Martha G Phillips, MSSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Madison, WI
• Providers in Madison, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.