Rachelle Irene Phillips, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019028034 Issued in IL

Practice address

2006 Mall St
Collinsville, IL 62234-1831

Phone

(618) 345-8333

NPI assigned

Jul 21, 2009

Last updated

Dec 8, 2020By 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 IL

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

State licenses

Practice roles

Locations

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.

• Rachelle I. Phillips DMD, P.C.

  • Dental Clinic/Center
  • Collinsville, IL
  • NPI 1619573201
  NPD Authorized official

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1649400813",
    "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": {
        "last_name": "PHILLIPS",
        "first_name": "RACHELLE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lynne Peel, MA, CCC-SLP
• Alyssa Kaylee Pellmann, PT, DPT
• Rebecca Kathryn Phelps, CPNP
• Phillips Investments, LLC - Collinsville Operations Series
• James Phillips, MSW LSW
• Rylee Nicole Pickett
• Dallas Lee Pineda, DMD
• Playworks, LLC
• Joan M Polwort, RPH
• Prorehab, PC (Athletico Physical Therapy)

• Dentist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.