Cynthia L Jennings Phillips, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6873 Issued in IA

Practice address

203 W Wilson St
Ottumwa, IA 52501-4725

Phone

(641) 682-2617

NPI assigned

Mar 26, 2007

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

Other identifiers 1

Other names 1

• Dr. Cynthia Louise Jennings Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962520197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W WILSON ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W WILSON ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014725",
            "telephone_number": "641-682-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CYNTHIA",
        "middle_name": "L JENNINGS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "6873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204099",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "JENNINGS",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brenda Sue Peiffer Coram, OTR/L
• Pella Regional Health Center
• Pella Regional Health Center
• Tiara Annette Perez, C.A.D.C.
• Sondra Philips, FNP-BC,
• Physiotherapy Assoicates, Inc.
• Payne M Pleima, CADC
• Ashley M Pooker, OTR
• Anthony Uriah Potter, MA
• Michael Powell, PTA

• Dentist in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.