DR. PHILLIP RUSSELL DEVORE D.D.S.
NPI 1992765366
Dentist - General Practice in Las Vegas, NV

Active since March 28, 2006PECOS Enrolled
1700 W CHARLESTON BLDG D, LAS VEGAS, NV 89102(702) 774-8000(702) 774-2812 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phillip Russell Devore D.d.s. NPPES

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

DR. PHILLIP RUSSELL DEVORE D.D.S. (NPI 1992765366) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (4285) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992765366
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILLIP RUSSELL DEVORECredential: D.D.S.
Location Address1700 W CHARLESTON BLDG DLas Vegas, NV 89102
Mailing Address1001 Shadow Lane Ms 7413Las Vegas, NV 89106 · (702) 774-8000 · Fax (702) 774-2812
Fax(702) 774-2812
Sole ProprietorYes
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 5, 2015
NPI 1992765366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NV · 4285
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.
1700 W CHARLESTON BLDG D, Las Vegas, NV 89102

Other Identifiers 1

Other200538965NV · Tin

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. Phillip Russell Devore D.d.s. 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 89102 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

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 Phillip Devore's NPI number?

The NPI number for Phillip Devore is 1992765366. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Phillip Devore located?

Phillip Devore practices at 1700 W Charleston Bldg D, Las Vegas, NV 89102. The listed phone number is (702) 774-8000.

What is Phillip Devore's specialty?

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

Is Phillip Devore enrolled in Medicare?

Yes. Phillip Devore is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Devore accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Phillip Devore 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 Phillip Devore was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.