Active NPI
Lucia Lily Philips
- Dentist
- Raleigh, NC
National Provider Identifier
1063082527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12341
- Practice address
- 10207 Cerny St Ste 106
Raleigh, NC 27617-4880 - Phone
- (984) 477-0177
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 12341 | NC | Primary |
Addresses
Primary practice location
10207 Cerny St Ste 106
Raleigh, NC 27617-4880
Mailing address
1647 Crafton Way
Raleigh, NC 27607-6032
Phone (919) 259-4523
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12341 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1063082527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 CRAFTON WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076032",
"telephone_number": "919-259-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10207 CERNY ST STE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276174880",
"telephone_number": "984-477-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPS",
"first_name": "LUCIA",
"middle_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.