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BLAKE PHILLIPS D.M.D., P.C.
NPI 1881236883
Dentist - Oral and Maxillofacial Surgery in Birmingham, AL

Active since October 10, 2019
1112 19TH ST S, BIRMINGHAM, AL 35205(205) 933-1331 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2019, Oct 10, 2019 (2 updates tracked since 2019).

About Blake Phillips D.m.d., P.c. NPPES

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

BLAKE PHILLIPS D.M.D., P.C. (NPI 1881236883) is a healthcare organization registered as an oral and maxillofacial surgery in Birmingham, Alabama and active in the NPI registry since October 2019. The organization lists Joseph Blake Phillips, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1881236883
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBLAKE PHILLIPS D.M.D., P.C.
Location Address1112 19TH ST SBirmingham, AL 35205-4814
Mailing Address1112 19th St SBirmingham, AL 35205-4814
Phone(205) 933-1331
Organization SubpartNo
Authorized OfficialJoseph Blake PhillipsOral And Maxillofacial Surgeon · (205) 933-1332
Enumeration DateOctober 10, 2019
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
✔ NPI 1881236883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1112 19TH ST S, Birmingham, AL 35205
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Phillips D.m.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Blake Phillips D.M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Joseph Phillips, DMD
Oral Surgery
NPI 1598183204
1112 19TH ST S
Birmingham, AL 35205
(205) 933-1331
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Blake Phillips D.M.D., P.C.'s NPI number?

The NPI number for Blake Phillips D.M.D., P.C. is 1881236883. It was assigned to this organization in the NPPES registry on October 10, 2019.

Where is Blake Phillips D.M.D., P.C. located?

Blake Phillips D.M.D., P.C. is located at 1112 19th St S, Birmingham, AL 35205. The listed phone number is (205) 933-1331.

What is Blake Phillips D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Blake Phillips D.M.D., P.C. enrolled in Medicare?

Yes. Blake Phillips D.M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blake Phillips D.M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Blake Phillips D.M.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blake Phillips D.M.D., P.C. was last updated on November 14, 2019. 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.