Kristina Lee Phillips

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5559 Issued in CA

Practice address

Naval Hosptial, Camp Pendleton
BLDG H100, Santa Margarita Road
Camp Pendleton, CA 92055

Phone

(760) 725-8882

Fax

(760) 725-1267

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1174713432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 CERULEAN WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920571841",
            "telephone_number": "726-725-8882",
            "fax_number": "760-725-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPTIAL, CAMP PENDLETON",
            "address_2": "BLDG H100, SANTA MARGARITA ROAD",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-8882",
            "fax_number": "760-725-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KRISTINA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Nagisa Sunamoto Perry, M.D., M.P.H.
• Maria Elizabeth Perry, CNM, RNC
• Sara Nolte Peters, DO
• Quyen Pham
• Emily Elizabeth Phelps, MD
• Brigitte Phung
• Shawn Lee Pittman
• Leonard James Plaitano, D.M.D.
• Sudha M Praba, MD
• Gervin Prado, PT

• General Practice Dentistry in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.