Active NPI
Phillip James Louie, D.M.D
- Pediatric Dentistry
- Dover, DE
National Provider Identifier
1164701033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- G1-0001328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001328 | DE | MD | Pediatric Dentist |
| DS038755 | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louie Pediatric Dentistry | Dentist | Current | 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.
-
- Dentist
- Dover, DE
- NPI 1538866108
-
- Pediatric Dentistry
- Dover, DE
- NPI 1982025649
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.