Dr. Gregory Ellis Phillips, DDS, MSD
Dr. Gregory Ellis Phillips is a Periodontics provider (Dentist) practicing in Bloomington, IN, registered in the NPPES registry with NPI 1417022427 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417022427 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Gregory Ellis Phillips |
| Credential | DDS, MSD |
| Sex | Male |
| Practice address | 230 N MORTON ST, Bloomington, IN, 47404 |
| Phone | 8123237000 |
| Enumeration date | 2006-11-22 |
| Last updated in NPPES | 2025-07-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0300X | Periodontics | Primary | 12008604 | IN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100083240A | Medicaid | IN | — |
Copy-ready billing details
Provider: Gregory Phillips, DDS, MSD NPI: 1417022427 Taxonomy: 1223P0300X (Periodontics) Address: 230 N MORTON ST, Bloomington, IN, 47404
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134293483 | Diane Heckley | Individual | General Practice Dentistry | Bloomington, IN |
| 1417022286 | Joshua Garver | Individual | General Practice Dentistry | Bloomington, IN |
| 1871712679 | Diane J. Heckley PC | Organization | General Practice Dentistry | Bloomington, IN |
| 1386527059 | Periodontal Associates of Bloomington | Organization | Periodontics | Bloomington, IN |
Verify this record
Cross-check NPI 1417022427 against the authoritative CMS record: view Dr. Gregory Ellis Phillips on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1417022427 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-28.