Individual provider Active NPI

Phillip James Louie, D.M.D

  • Pediatric Dentistry
  • Dover, DE
National Provider Identifier
1164701033
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
G1-0001328 Issued in DE
Practice address
250 Beiser Blvd
Suite 101
Dover, DE 19904-7795
Phone
(302) 674-5437
Fax
(302) 672-9091
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS038755 PA
Pediatric Dentistry 1223P0221X G1-0001328 DE Primary
Dentist 122300000X G1-0001328 DE

Addresses

Primary practice location

250 Beiser Blvd
Suite 101
Dover, DE 19904-7795

Mailing address

250 Beiser Blvd
Suite 101
Dover, DE 19904-7795
Phone (302) 674-5437

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

LicenseStateTypeSpecialty
G1-0001328DEMDPediatric Dentist
DS038755PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Louie Pediatric Dentistry Dentist CurrentSince Feb 19, 2023 Accepting new patients
Lawrence a. Louie D.M.D. Pediatric Dentistry Past Accepting new patients

Locations

250 Beiser Blvd
Ste 101
Dover, DE 19904
Phone (302) 674-5437

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1164701033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BEISER BLVD",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047795",
            "telephone_number": "302-674-5437",
            "fax_number": "302-672-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEISER BLVD",
            "address_2": "SUITE 101",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047795",
            "telephone_number": "302-674-5437",
            "fax_number": "302-672-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "PHILLIP",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038755",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DE",
            "license": "G1-0001328",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.