DR. JEFFREY JOSEPH PHILLIPS (NPI# 1518030196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518030196 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JOSEPH PHILLIPS |
| Credential | D.D.S.,M.S. |
| Practice Address |
5605 Odana Rd Madison WI 53719-1207 |
| Practice Telephone | 6082719293 |
| Practice Fax Number | 6082049216 |
| Mailing Telephone | 6082719293 |
| Mailing Fax Number | 6082049216 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4603 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33722200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174872451 | Jeffrey Carl Phillips | Veterinarian | 3922 Clear Springs Rd, Mascot, TN 37806-1005 | 2012-09-02 |
| 1477837789 | Jeffrey P Phillips | Psychologist | 505 W 15th, Pleasanton, KS 66075-4095 | 2011-10-05 |
| 1295050078 | Jeffrey Michael Phillips | Pharmacist | 2182 County Line Rd, Huntingdon Valley, PA 19006-1740 | 2010-04-05 |
| 1144365966 | Jeffrey Grant Phillips | Chiropractor | 967 S Coast Highway 101, B109, Encinitas, CA 92024-4443 | 2007-02-20 |
| 1770662769 | Jeffrey J Phillips | Chiropractor | 948a E. Broad St., Columbus, OH 43205 | 2006-11-02 |
| 1003917410 | Jeffrey C Phillips | Dentist | 1109 Liberty Circle S, Salem, OR 97306 | 2006-09-26 |
| 1568572311 | Jeffrey Paul Phillips | Chiropractor | 375 W Main St, Ste D, Woodland, CA 95695 | 2006-08-30 |
| 1134136096 | Jeffrey Scott Phillips | Optometrist | 4504 Texas Blvd, Texarkana, TX 75503-3027 | 2006-08-02 |
| 1811974900 | Jeffrey Dean Phillips | Optometrist | 1903 Tyrone Blvd N, Saint Petersburg, FL 33710-4841 | 2005-12-29 |
| 1104345206 | Jeffrey M Phillips | Physical Therapist | 2906 Plantation Dr, Bossier City, LA 71111-5851 | 2017-09-11 |
| Street Address |
5605 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215388616 | Advanced Orthodontics of Wisconsin | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2016-06-27 |
| 1104999796 | Phillips Orthodontics | Dentist | 5605 Odana Rd, Madison, WI 53719-1207 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154555282 | Orthodontic Care of Georgia | Dentist | 1690 Eatonton Rd, Madison, GA 30650-4628 | 2009-05-04 |
| 1336382845 | James Russell Durham | Dentist | 7559c Highway 72 West, Suite 105, Madison, AL 35758-8812 | 2009-04-14 |
| 1851507248 | William Koenig | Dentist | 2040 Hubbard Rd, Madison, OH 44057-2566 | 2007-05-15 |
| 1497809537 | Marion Garr Doyle | Dentist | 624 W Due West Ave, Madison, TN 37115-4402 | 2007-01-23 |
| 1942358635 | Damian O. Fennig | Dentist | 5520 Medical Cir, Madison, WI 53719-1226 | 2007-01-08 |
| 1164599791 | Steven D. Peterson | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2006-11-29 |
| 1760559025 | Kenneth Noel Reed Jr. | Dentist | 451 Pebble Creek Drive, Madison, MS 39110 | 2006-11-29 |
| 1902919012 | James Edwin Hatcher | Dentist | 581 Hughes Rd, Madison, AL 35758 | 2006-08-16 |
| 1821008756 | James E Paschal Jr. | Dentist | 153 W Washington St, Madison, GA 30650-1218 | 2006-08-09 |
| 1588611941 | David T Allen | Dentist | 7007 Old Sauk Rd, Suite 101, Madison, WI 53717-2307 | 2006-05-30 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.