Carson Riley Phillips, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30324 Issued in TX

Practice address

4425 W Wadley Ave Ste 100
Midland, TX 79707

Phone

(432) 203-6905

NPI assigned

Mar 7, 2015

Last updated

May 1, 2024By the provider in NPPES

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 TX

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

Credentials

Master of Science

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.

• Permian Bracein, PLLC

  dba Key City Kids Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Abilene, TX
  • NPI 1477249290
  NPD Authorized official
• Phillips Orthodontics, PLLC

  dba Phillips Orthodontics

  • Dental Clinic/Center
  • Midland, TX
  • NPI 1720642150
  NPD Authorized official

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

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1841683356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W WADLEY AVE STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W WADLEY AVE STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79707",
            "telephone_number": "432-203-6905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Grant Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614056",
            "country_code": "US",
            "telephone_number": "432-203-6905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3781 Catclaw Dr",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796068203",
            "country_code": "US",
            "telephone_number": "325-766-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARSON",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-07",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "30324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Ann Phan
• James Philipps, MD
• Laura Philipps, D.M.D.
• Phillips Orthodontics, PLLC (Phillips Orthodontics)
• Amy S Phillips, R.PH.
• Charles W Phillips, OD
• Chris Phillips, PT
• Crystal Michelle Phillips
• Phytex Rehabilitation, LLC (PhyTEx Midland)
• Madyson Paige Piche

• Orthodontics and Dentofacial Orthopedics Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.