Individual provider Active NPI

Philip Philbin, D.D.A.

  • Specialist
  • Annapolis, MD
National Provider Identifier
1194874784
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9549 Issued in MD
Practice address
104 Forbes St
Suite 204
Annapolis, MD 21401-1516
Phone
(410) 263-5600
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 9549 MD Primary

Addresses

Primary practice location

104 Forbes St
Suite 204
Annapolis, MD 21401-1516

Mailing address

104 Forbes St Ste 204
Annapolis, MD 21401-1598
Phone (954) 203-3584

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
9549MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Woods, LLC Current Accepting new patients
Tranquility Woods, LLC Current Accepting new patients
Philip a. Philbin, D.D.S., P.a. Specialist Past Accepting new patients

Organizations & group practices 3

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1194874784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011598",
            "telephone_number": "954-203-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "410-263-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.D.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "9549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.