Phyllis Kephart, PHDHP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

PHDH000805 Issued in PA

Practice address

501 Howard Ave.
Building D Suite 103
Altoona, PA 16601-4814

Phone

(814) 889-6420

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Altoona Regional Partnership for a Healthy Community

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1952520165
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1063919744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 52ND ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021446",
            "telephone_number": "814-943-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE.",
            "address_2": "BUILDING D SUITE 103",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014814",
            "telephone_number": "814-889-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "PHYLLIS",
        "credential": "PHDHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH000805",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH010609L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kennedy
• Apryl Kennedy, LPN
• John Kensinger II
• Cheyenne Kephart, COTA/L
• Laurie Joan Kephart, LPC, NCC
• Valerie Kerfoot, LSW
• David L Kerstetter Jr., M.D.
• Sarah Ann Kerstetter, M. ED.
• Sheela Kerstetter
• Keystone Dermatology & Center for Skin Surgery, LLC

• Dental Hygienist in Altoona, PA
• Providers in Altoona, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.