Joseph Douglas Phillips, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

101727 Issued in CA

Practice address

10737 Camino Ruiz Ste 210
San Diego, CA 92126-2363

Phone

(858) 578-1822

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phillips Dental Corporation

  dba Phillips Family Orthodontics

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1861103947
  NPD Authorized official
• Dean Lambridis and Amardeep Gill Dental Corporation

  dba Dublin Dental Services

  • Dentist
  • Dublin, CA
  • NPI 1720403090
  NPD (past)
• Fallon Dental Group

  • Dentist
  • Dublin, CA
  • NPI 1053867622
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1285158949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262363",
            "telephone_number": "858-578-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262363",
            "telephone_number": "858-578-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JOSEPH",
        "middle_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101727",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "101727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailey Marie Phillips
• Janet Patricia Phillips, LCSW
• Jeffery Phillips
• Jennifer Bowie Phillips
• Jenny Rebecca Margrethe Phillips
• Joshua C Phillips
• Judy N Phillips, PHD
• Julie M. Phillips, MD
• Kaori Sarah Phillips, RN, BSN
• Kate Ann Phillips, CADC1

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.