Organization Active NPI

Kent L. Phillips, D.D.S., M.S., LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reno, NV
National Provider Identifier
1073641916
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S3-32 Issued in NV
Legal business name
KENT L. PHILLIPS, D.D.S., M.S., LTD.
Practice address
5220 Neil Rd
Suite #110
Reno, NV 89502-6505
Phone
(775) 332-1750
Fax
(775) 332-1753
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Kent L Phillips, D.D.S. M.S.
Title
Orthodontist
Phone
(775) 332-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X S3-32 NV Primary

Addresses

Primary practice location

5220 Neil Rd
Suite #110
Reno, NV 89502-6505

Mailing address

5220 Neil Rd
Suite #110
Reno, NV 89502-6505
Phone (775) 332-1750

National Provider Directory

National Provider Directory
Tax ID family
Kent L Phillips DDS Ms LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5220 Neil Rd
Ste 110
Reno, NV 89502
Phone (775) 332-1750

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1073641916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD",
            "address_2": "SUITE #110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026505",
            "telephone_number": "775-332-1750",
            "fax_number": "775-332-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NEIL RD",
            "address_2": "SUITE #110",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026505",
            "telephone_number": "775-332-1750",
            "fax_number": "775-332-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT L. PHILLIPS, D.D.S., M.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "775-332-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.