ALEXIS PHILLIPS D.M.D.
NPI 1346771904
Dentist - Pediatric Dentistry in Boise, ID

Active since March 24, 2017
136 E MALLARD DR, BOISE, ID 83706(208) 500-5437(208) 908-6178 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Sep 9, 2019, Mar 27, 2017 and 1 more (4 updates tracked since 2017).

About Alexis Phillips D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS PHILLIPS D.M.D. (NPI 1346771904) is an individual pediatric dentistry provider in Boise, Idaho, licensed in Idaho (D-5002-PD) and active in the NPI registry since March 2017. She maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1346771904
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameALEXIS PHILLIPSCredential: D.M.D.
Location Address136 E MALLARD DRBoise, ID 83706-3975
Mailing Address130 National DrJohns Creek, GA 30097-2079 · (770) 856-1308
Fax(208) 908-6178
Sole ProprietorYes
Enumeration DateMarch 24, 2017
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1346771904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in ID · D-5002-PD
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

136 E MALLARD DR, Boise, ID 83706

Secondary Practice Location 1

Location 13333 Burnet Ave, Cincinnati Children's Hospital Medical CenterCincinnati, OH 45229 · Phone (770) 856-1308

Other Identifiers 2

Other1346771904ID · Ppo
Medicaid1346771904ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
136 E MALLARD DR
BOISE, ID 83706
Dentist (Pediatric Dentistry)
136 E MALLARD DR
BOISE, ID 83706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Phillips's NPI number?

The NPI number for Alexis Phillips is 1346771904. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Alexis Phillips located?

Alexis Phillips practices at 136 E Mallard Dr, Boise, ID 83706. The listed phone number is (208) 500-5437.

What is Alexis Phillips's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Alexis Phillips accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Alexis Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexis Phillips was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.