NPIMap

Organization Active NPI

Rachelle I. Phillips DMD, P.C.

  • Dental Clinic/Center
  • Collinsville, IL
National Provider Identifier
1619573201
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RACHELLE I. PHILLIPS DMD, P.C.
Practice address
2006 Mall St
Collinsville, IL 62234-1831
Phone
(618) 345-8333
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Dr. Rachelle I Phillips, DMDNPI 1649400813
Title
President
Phone
(618) 954-8029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2006 Mall St
Collinsville, IL 62234-1831

Mailing address

20 Ginger Creek Dr
Glen Carbon, IL 62034-3403
Phone (618) 954-8029

National Provider Directory

National Provider Directory

Locations

2006 Mall St
Collinsville, IL 62234
Phone (618) 345-8333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1619573201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GINGER CREEK DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343403",
            "telephone_number": "618-954-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MALL ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341831",
            "telephone_number": "618-345-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHELLE I. PHILLIPS DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-954-8029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.