DR. PHILIP EVAN MCKENZIE DDS, MS, FRCDC
NPI 1619385556
Dentist - Endodontics in Coon Rapids, MN
About Dr. Philip Evan Mckenzie Dds, Ms, Frcdc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP EVAN MCKENZIE DDS, MS, FRCDC (NPI 1619385556) is an individual endodontics provider in Coon Rapids, Minnesota, licensed in Minnesota (D13597) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Blaine.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Philip Evan Mckenzie Dds, Ms, Frcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55448 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COON RAPIDS, MN 55448
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 Philip Mckenzie's NPI number?
The NPI number for Philip Mckenzie is 1619385556. It was assigned to this individual provider in the NPPES registry on July 23, 2014.
Where is Philip Mckenzie located?
Philip Mckenzie practices at 3360 Northdale Blvd NW, Coon Rapids, MN 55448. The listed phone number is (763) 233-3322.
What is Philip Mckenzie's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Philip Mckenzie enrolled in Medicare?
Yes. Philip Mckenzie is registered in the Medicare PECOS enrollment system.
What insurance does Philip Mckenzie accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Philip Mckenzie 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 Philip Mckenzie was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Philip Evan Mckenzie, DDS, MS, FRCDC · NPI 1619385556
Endodontics provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since July 23, 2014.
## Identity
- **NPI:** 1619385556 (Entity type: Individual)
- **Enumerated:** July 23, 2014
- **Primary specialty:** Dentist - Endodontics · taxonomy 1223E0200X
- **State license:** D13597 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3360 NORTHDALE BLVD NW, Coon Rapids, MN 55448-1601
- **Phone:** (763) 233-3322
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** December 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619385556) · Data from the CMS NPPES public registry.