DR. TRAVIS R PHILLIPS (NPI# 1740377522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740377522 |
| Entity Type | Individual |
| Full Name | DR. TRAVIS R PHILLIPS |
| Other Name | RANDY PHILLIPS |
| Credential | DDS |
| Practice Address |
502 North Wells Edna TX 77957 |
| Practice Telephone | 3617822223 |
| Practice Fax Number | 3617820328 |
| Mailing Telephone | 3617822223 |
| Mailing Fax Number | 3617820328 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14114 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1881707057 | Travis Pemelton Phillips | Dentist | 1695 Golden Springs Rd, Anniston, AL 36207-7097 | 2006-08-15 |
| 1407957616 | Travis Phillips | Internal Medicine | 1030 Jefferson Avenue, Memphis, TN 38104 | 2006-09-26 |
| Street Address |
502 NORTH WELLS |
| City | EDNA |
| State | TX |
| Zip Code | 77957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399330 | Mchenry Lee | Dentist | 118 N Wells St, Edna, TX 77957 | 2006-11-06 |
| 1952417123 | Dawn Rachelle Jalufka | Optometrist | 201 N Wells, Enda, TX 77957 | 2006-08-21 |
| 1033699699 | Kimberly Alvarado | Occupational Therapy Assistant | 1401 W Main St, Edna, TX 77957 | 2018-08-14 |
| 1255468948 | Jackson County Special Services Coop | Local Education Agency (LEA) | 606 Gilbert Street, Edna, TX 77957-0919 | 2007-02-28 |
| 1760455158 | Fmsc Edna Operating Company Lp | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2006-02-08 |
| 1063558526 | Care Inn of Edna LLC | Skilled Nursing Facility | 1204 N Wells St, Edna, TX 77957-2149 | 2007-01-30 |
| 1245760784 | Emilie Faucheu | Dentist | 1006 N Wells St, Edna, TX 77957-2153 | 2017-06-18 |
| 1801813076 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1002 N Wells St, Edna, TX 77957-2153 | 2006-07-16 |
| 1558317172 | Total Renal Care Texas Limited Partnership | Clinic/Center | 1008 N Wells St, Edna, TX 77957-2153 | 2006-05-25 |
| 1386124865 | Tracy Yenawine Oldag | Physical Therapy Assistant | 1401 W Main St, Edna, TX 77957-2454 | 2018-08-15 |
| Find all providers in zip 77957 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245760784 | Emilie Faucheu | Dentist | 1006 N Wells St, Edna, TX 77957-2153 | 2017-06-18 |
| 1245543685 | Eric M Owen | Dentist | 502 N Wells St, Edna, TX 77957-2749 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366064 | Felipe Gregorio Flores | Dentist | 107 Shorecliff Dr, Portland, TX 78374-1459 | 2020-11-02 |
| 1659971653 | Richardson Heights Dental, Pllc | Dentist | 721 W Arapaho Rd Ste 101, Richardson, TX 75080-4155 | 2020-10-28 |
| 1053911396 | Ko Dental Group, PC | Dentist | 302 S. Avenue Q, Clifton, TX 76634 | 2020-10-27 |
| 1972103240 | Kla Dr Pllc | Dentist | 2100 Dallas Pkwy Ste 120, Plano, TX 75093-4394 | 2020-10-27 |
| 1255930798 | Jpm Dental Conroe | Dentist | 2104 N Frazier St Ste 140, Conroe, TX 77301-1250 | 2020-10-24 |
| 1407455173 | Perla Dental of Kaufman Pa | Dentist | 380 E Us Highway 175, Kaufman, TX 75142-3548 | 2020-10-22 |
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1770182701 | Summit Point Dental & Implant Center | Dentist | 3124 West University Drive, Mckinney, TX 75071-7507 | 2020-10-21 |
| 1760081954 | Amlan Pankaj | Dentist | 802 E Amarillo Blvd # 300, Amarillo, TX 79107-5401 | 2020-10-20 |
| 1114525581 | Ashley Roy | Dentist | 9099 Katy Fwy Ste 180, Houston, TX 77024-1677 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
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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.