Jason Alan Phillips, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000008959 Issued in TN

Practice address

2609 Adair Dr
Knoxville, TN 37918-1897

Phone

(865) 688-1320

Fax

(865) 688-4719

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

Yes

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 TN

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.

• Professional Dental Systems, North

  • Dentist
  • Knoxville, TN
  • NPI 1952472086
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1962659219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 ADAIR DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181897",
            "telephone_number": "865-688-1320",
            "fax_number": "865-688-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ADAIR DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181897",
            "telephone_number": "865-688-1320",
            "fax_number": "865-688-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000008959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Adele Phillips, PHARM D
• Hal Phillips, O.D
• Heather Dawn Phillips, DO
• Hillary Anne Ebling Phillips, M.D.
• Janann Marie Phillips, R.N.
• Jennifer Kristen Phillips, PMHNP-BC
• Jennifer Vella Phillips
• Jessica Megan Phillips, DMD
• Katherine Hutchinson Phillips, DO
• Kendria Ann Phillips

• Dentist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.