Phillips Family Practice

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS017888L Issued in PA

Legal business name

PHILLIPS FAMILY PRACTICE

Practice address

204 N Main St
Zelienople, PA 16063-2306

Phone

(724) 452-9732

NPI assigned

Oct 3, 2007

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah Ault White

Title

Practice Manager

Phone

(724) 452-9732

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1043407067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. MAIN ST.",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "16063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632306",
            "telephone_number": "724-452-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "AULT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "724-452-9732",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017888L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Catherine Patsch, DC
• Jill Pawlowski, OT
• Peach Therapy LLC
• Victor L Peffer, RPH
• Perform Physio
• Jeffrey Thomas Polley Sr., MS
• Anna Potter
• Erin Marie Raible, MS, NCC
• Kaya Raines
• Melissa Ann Ray, LCSW

• General Practice Dentistry in Zelienople, PA
• Providers in Zelienople, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.