JAKE KURUVILLA PHILIP
NPI 1659907871
Dentist - General Practice in Dallas, TX

Active since March 19, 2020
4500 S LANCASTER RD, DALLAS, TX 75216(214) 857-1082 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, Mar 19, 2020 (2 updates tracked since 2020).

About Jake Kuruvilla Philip NPPES

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

JAKE KURUVILLA PHILIP (NPI 1659907871) is an individual general practice provider in Dallas, Texas, licensed in Illinois (019.032813) and active in the NPI registry since March 2020. He maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1659907871
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJAKE KURUVILLA PHILIP
Location Address4500 S LANCASTER RDDallas, TX 75216-7167
Mailing Address3151 Glenway DrNorthbrook, IL 60062-7507 · (847) 624-9237
Sole ProprietorNo
Enumeration DateMarch 19, 2020
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
NPI 1659907871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.032813
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.
4500 S LANCASTER RD, Dallas, TX 75216

Secondary Practice Location 1

Location 11801 W Wisconsin AveMilwaukee, WI 53233-2186 · Phone (414) 288-6790

Other Identifiers 1

Other019.032813IL · Dental Licensure

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Respiratory Therapist, Registered
4500 S LANCASTER RD
DALLAS, TX 75216
Social Worker (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Psychologist (Clinical)
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Pharmacist
4500 S LANCASTER RD
DALLAS, TX 75216
Physical Therapist
4500 S LANCASTER RD
DALLAS, TX 75216

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 Jake Philip's NPI number?

The NPI number for Jake Philip is 1659907871. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Jake Philip located?

Jake Philip practices at 4500 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 857-1082.

What is Jake Philip's specialty?

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

What insurance does Jake Philip accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Jake Philip 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 Jake Philip was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.