Active NPI
David M Phillips, DDS
- Dentist
- King City, CA
National Provider Identifier
1003817750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27185
- Practice address
- 222 S Russ St
King City, CA 93930-2925 - Phone
- (831) 385-5616
- Fax
- (831) 385-9015
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27185 | CA | Primary |
Addresses
Primary practice location
222 S Russ St
King City, CA 93930-2925
Mailing address
222 S Russ St
King City, CA 93930-2925
Phone (831) 385-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003817750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S RUSS ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939302925",
"telephone_number": "831-385-5616",
"fax_number": "831-385-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S RUSS ST",
"city": "KING CITY",
"state": "CA",
"postal_code": "939302925",
"telephone_number": "831-385-5616",
"fax_number": "831-385-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "27185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.