Active NPI
Joseph Theodore Phillips Jr., M.D.
- Neurology Physician
- Dallas, TX
National Provider Identifier
1013983774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- F9951
- Practice address
- 6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922 - Phone
- (214) 827-3610
- Fax
- (214) 443-9640
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | F9951 | TX | Primary |
Addresses
Primary practice location
6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922
Mailing address
6301 Gaston Ave
Suite 100 West Tower
Dallas, TX 75214-3922
Phone (214) 827-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123466802 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F9951 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Neurology, P.a. | Past | Accepting new patients | |
| Diagnostic Imaging Center at Texas Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBAABA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dallas, TX
- NPI 1952850810
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1801377528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1013983774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 100 WEST TOWER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-827-3610",
"fax_number": "214-443-9640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "SUITE 100 WEST TOWER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-827-3610",
"fax_number": "214-443-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JOSEPH",
"middle_name": "THEODORE",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "F9951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123466802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.