Cassondra Lynne Phillipsen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10086 Issued in OR

Practice address

15780 NW Harrys PL
Banks, OR 97106-8419

Phone

(503) 593-9599

NPI assigned

Jul 21, 2014

Last updated

Mar 19, 2026By the provider in NPPES

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

Enrolled in OR

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHGICD

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.

• Medical Teams International

  • Dentist
  • Portland, OR
  • NPI 1972117588
  NPD Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1588071666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15780 NW HARRYS PL",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971068419",
            "telephone_number": "503-593-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15780 NW HARRYS PL",
            "city": "BANKS",
            "state": "OR",
            "postal_code": "971068419",
            "telephone_number": "503-593-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPSEN",
        "first_name": "CASSONDRA",
        "middle_name": "LYNNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kronenberg, MA
• Alison Marie Larson, RN
• Let Go in the Country Massage
• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group - Banks)
• Diamond Caitlin Phelps
• Crystal Annette Reddington, THW
• Kyrsten Roberts
• Jessica Hope Shiyomura, PT, DPT
• Emily Elizabeth Tarleton, LMT
• Henry White

• General Practice Dentistry in Banks, OR
• Providers in Banks, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.