Organization Active NPI

Gerald S. Phipps, DMD, Ms, PLLC

  • Dental Clinic/Center
  • Spokane, WA
National Provider Identifier
1043663768
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5609 Issued in WA
Legal business name
GERALD S. PHIPPS, DMD, MS, PLLC
Practice address
520 S Cowley St
#102A
Spokane, WA 99202-1315
Phone
(509) 838-3703
Fax
(509) 838-0375
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Gerald S Phipps, DMD, MS, PLLC
Title
Orthodontist
Phone
(509) 838-3703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5609 WA Primary

Addresses

Primary practice location

520 S Cowley St
#102A
Spokane, WA 99202-1315

Mailing address

520 S Cowley St
#102A
Spokane, WA 99202-1315
Phone (509) 838-3703

Other names 1

  • Phipps Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

520 S Cowley St
Ste 102A
Spokane, WA 99202
Phone (509) 838-3703

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1043663768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST",
            "address_2": "#102A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-838-3703",
            "fax_number": "509-838-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST",
            "address_2": "#102A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-838-3703",
            "fax_number": "509-838-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD S. PHIPPS, DMD, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "509-838-3703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, PLLC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "5609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phipps Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.