DR. KELSEY CORIA PHILLIPS DDS
NPI 1689139065
Dentist - Pediatric Dentistry in Coronado, CA

Active since February 09, 2019
120 C AVE STE 100, CORONADO, CA 92118(209) 518-9612 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, Aug 19, 2021, Feb 9, 2019 (3 updates tracked since 2019).

About Dr. Kelsey Coria Phillips Dds NPPES

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

DR. KELSEY CORIA PHILLIPS DDS (NPI 1689139065) is an individual pediatric dentistry provider in Coronado, California, licensed in California (105480) and active in the NPI registry since February 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689139065
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KELSEY CORIA PHILLIPSCredential: DDS
Location Address120 C AVE STE 100Coronado, CA 92118-1992
Mailing Address120 C Ave Ste 100Coronado, CA 92118-1992 · (209) 518-9612
Sole ProprietorYes
Enumeration DateFebruary 9, 2019
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1689139065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 105480
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.
120 C AVE STE 100, Coronado, CA 92118

Secondary Practice Locations 2

Location 1838 Nordahl Rd Ste 145San Marcos, CA 92069-3513 · Phone (619) 651-5470
Location 2222 Third AveChula Vista, CA 91910-2711 · Phone (619) 427-1315

Other Identifiers 1

Medicaid1659768802CA

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 (General Practice)
120 C AVE STE 100
CORONADO, CA 92118
Clinic/Center (Dental)
120 C AVE STE 100
CORONADO, CA 92118

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 Kelsey Phillips's NPI number?

The NPI number for Kelsey Phillips is 1689139065. It was assigned to this individual provider in the NPPES registry on February 9, 2019.

Where is Kelsey Phillips located?

Kelsey Phillips practices at 120 C Ave Ste 100, Coronado, CA 92118. The listed phone number is (209) 518-9612.

What is Kelsey Phillips's specialty?

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

What insurance does Kelsey Phillips 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 Kelsey 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 Kelsey Phillips was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.