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JOHN C. PHILLIPS III DDS
NPI 1407890635
Dentist - General Practice in Chickasha, OK

Active since June 16, 2006Opted out of Medicare · through Apr 25, 2028
2900 W. GRAND AVE., CHICKASHA, OK 73018(405) 222-0222(405) 222-0210 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John C. Phillips Iii Dds NPPES

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

JOHN C. PHILLIPS III DDS (NPI 1407890635) is an individual general practice provider in Chickasha, Oklahoma, licensed in Oklahoma (BP5225277) and active in the NPI registry since June 2006. He has opted out of Medicare through April 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407890635
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN C. PHILLIPS IIICredential: DDS
Location Address2900 W. GRAND AVE.Chickasha, OK 73018
Mailing Address2900 W. Grand Ave.Chickasha, OK 73018 · (405) 222-0222 · Fax (405) 222-0210
Phone(405) 222-0222
Fax(405) 222-0210
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateNovember 29, 2007
✔ NPI 1407890635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · BP5225277
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2900 W. GRAND AVE., Chickasha, OK 73018
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

John C. Phillips Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2016 through April 25, 2028.

Opt-Out Effective DateApril 25, 2016
Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Phillips's NPI number?

The NPI number for John Phillips is 1407890635. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is John Phillips located?

John Phillips practices at 2900 W. Grand Ave., Chickasha, OK 73018. The listed phone number is (405) 222-0222.

What is John Phillips's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Phillips enrolled in Medicare?

No. John Phillips has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Phillips was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.