Scott Bradford Phillippi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022577 Issued in OH

Practice address

1289 N Monroe Dr
Xenia, OH 45385-1655

Phone

(937) 376-9975

Fax

(937) 376-8252

NPI assigned

Jul 11, 2007

Sex

Male

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 OH

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phillippi Dental LLC

  • Dental Clinic/Center
  • Fairborn, OH
  • NPI 1851004923
  NPD Authorized official
• Phillippi Dental of Springfield LLC

  • Dental Clinic/Center
  • Springfield, OH
  • NPI 1518685932
  NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1649479643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851655",
            "telephone_number": "937-376-9975",
            "fax_number": "937-376-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 N MONROE DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453851655",
            "telephone_number": "937-376-9975",
            "fax_number": "937-376-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPI",
        "first_name": "SCOTT",
        "middle_name": "BRADFORD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Perry
• Dina J Peterson, MS, RD, LD
• Anna Petroff, PHARMD
• Jeanine Marie Phares, ISP
• Carol Ann Phibbs
• Tamara J Phillippi, PA-C
• Amanda Phillips
• Barbara Phillips, RN
• Janine Diane Phillips, RN
• Mackenzie Alexandra Piatka

• General Practice Dentistry in Xenia, OH
• Providers in Xenia, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.