Lexis Phillips, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03049400 Issued in NJ

Practice address

871 Saint George Ave
Woodbridge, NJ 07095-2514

Phone

(732) 634-5200

NPI assigned

Jun 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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 and National Provider Directory roles.

• Alex R Sharifian DDS, Ward Parkway Dentistry, PC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1548993793
  NPD
• Dental Arts of Woodbridge LLP

  • Dentist
  • Woodbridge, NJ
  • NPI 1760493142
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1831838085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 PARK AVE APT 15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294574",
            "telephone_number": "615-438-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 SAINT GEORGE AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952514",
            "telephone_number": "732-634-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BronxCare Health Systems",
            "address_2": "1775 Grand Concourse 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10453",
            "country_code": "US",
            "telephone_number": "718-901-8110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Ward Parkway",
            "address_2": "St 2130",
            "address_purpose": "LOCATION",
            "city": "kansas city",
            "state": "MO",
            "postal_code": "64114",
            "country_code": "US",
            "telephone_number": "816-631-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LEXIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-07-31",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023010294",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03049400",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Perez
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• Personalized Serenity Counseling Services
• Jennifer Megan Peterson, OD
• Brian Philipson, D.C.
• Physical Therapy Sports Rehab
• Francis Pierre
• Laurie Ann Pino, MOT
• John Pogoda, DMD
• Danielle Pompey-Plummer, LPC

• Dentist in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.