NPI age
9 years
Enumerated 2017-03-24
● Active
Type 1 · Individual
Alexis Phillips, D.M.D.
Phillips is 1 of 14 dentist providers in Boise and 1 of 114 in Idaho.
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 114 active dentist providers in Idaho.
NPI age
9 years
↓ 4 yr below median (13 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Practice location
136 E Mallard Dr
Boise, ID 837063975
Mailing address
130 National Dr
Johns Creek, GA 300972079
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3333 Burnet Ave, Cincinnati Children'S Hospital Medical Center
Cincinnati, OH 45229
Specialties
-
Dentist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1346771904 | PPO |
| 05 (ID) | 1346771904 |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.