Individual provider Active NPI

Emily Phillips, DDS

  • General Practice Dentistry
  • Chardon, OH
National Provider Identifier
1992633754
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.028413 Issued in OH
Practice address
220 Cherry Ave
Chardon, OH 44024-1117
Phone
(440) 286-2474
NPI assigned
May 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.028413 OH Primary

Addresses

Primary practice location

220 Cherry Ave
Chardon, OH 44024-1117

Mailing address

220 Cherry Ave
Chardon, OH 44024-1117
Phone (440) 286-2474

Other practice location 1

150 Mentor Ave
Painesville, OH 44077-3232
Phone (440) 354-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.028413OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Painesville Dental Group General Practice PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1992633754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHERRY AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241117",
            "telephone_number": "440-286-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHERRY AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241117",
            "telephone_number": "440-286-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Painesville",
            "state": "OH",
            "postal_code": "440773232",
            "country_code": "US",
            "telephone_number": "440-354-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "EMILY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.028413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.