DR. CARSON RILEY PHILLIPS (NPI# 1841683356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841683356 |
| Entity Type | Individual |
| Full Name | DR. CARSON RILEY PHILLIPS |
| Credential | DDS, MS |
| Practice Address |
4425 W Wadley Ave Ste 100 Midland TX 79707 |
| Mailing Address |
4425 W Wadley Ave Ste 100 Midland TX 79707-5330 |
| Practice Telephone | 4322036905 |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30324 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518372127 | Carson Phillips | Family Medicine | 2822 Jackson Blvd Ste 101, Rapid City, SD 57702-3497 | 2014-06-23 |
| Street Address |
4425 W WADLEY AVE STE 100 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642150 | Phillips Orthodontics, Pllc | Clinic/Center | 4425 W Wadley Ave Ste 100, Midland, TX 79707-5330 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| 1881711778 | Michael Patrick Wolbert | Allergy & Immunology | 5000 Briarwood Ave., Midland, TX 79707 | 2007-03-23 |
| Find all providers in zip 79707 | ||||
| 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 |
|---|---|---|---|---|
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1932475530 | Lisa Miller Davis | Dentist | 200 Northgate Dr., Midland, MI 48640 | 2012-03-28 |
| 1780808774 | C. Robert Henry Jr. | Dentist | 4810 W Loop 250 N, Midland, TX 79707-3191 | 2007-04-12 |
| 1871693705 | Jennifer Angela Sullivan | Dentist | 3200 Andrews Hwy, Suite 400, Midland, TX 79701-3896 | 2006-09-22 |
| 1205942364 | Dale Jed Davis | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2006-08-22 |
| 1083621692 | Grant Eugene Giles | Dentist | 4214 Andrews Hwy Ste 307, Midland, TX 79703-4869 | 2006-08-03 |
| 1336782135 | Great Lakes Bay Orthodontics, Plc | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2019-10-24 |
| 1477034700 | Katie Lynn Snapp | Dentist | 1000 N Midkiff Rd, Midland, TX 79701-2101 | 2018-08-24 |
| 1831631274 | Beau Joplin Boren | Dentist | 4610 N Garfield St, Suite A-9, Midland, TX 79705-2663 | 2016-11-16 |
| 1205384963 | Davis and Davis Orthodontics | Dentist | 200 Northgate Dr, Midland, MI 48640-7344 | 2016-09-12 |
| Find all providers in MIDLAND | ||||
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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.