MARIAH IMANI PHILLIPS DDS
NPI 1932682812
Dentist - General Practice in Saint Louis, MO

Q: What is Mariah Phillips's NPI number?

The NPI number for Mariah Phillips is 1932682812. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Q: What is Mariah Phillips's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mariah Phillips was last updated on September 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2018PECOS Enrolled

4121 ELM PARK DR, SAINT LOUIS, MO 63128(314) 845-2730 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mariah Imani Phillips Dds NPPES

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

MARIAH IMANI PHILLIPS DDS (NPI 1932682812) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2018028108) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932682812

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMARIAH IMANI PHILLIPSCredential: DDS

Location Address4121 ELM PARK DRSaint Louis, MO 63128-1918

Mailing Address5926 Cates AveSaint Louis, MO 63112-2011 · (314) 308-1027

Phone(314) 845-2730

Sole ProprietorNo

Enumeration DateSeptember 7, 2018

✔ NPI 1932682812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2018028108

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.

4121 ELM PARK DR, Saint Louis, MO 63128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Mariah Imani Phillips Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

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Other Providers at the Same Location NPPES 6

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

DR. ALLISON MARIE WINKLER D.M.D.

Dentist (General Practice)