William Daye Phillippi II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-3398 Issued in TN

Practice address

798 W Oak Dr
Apt. F-4
Cookeville, TN 38501-3779

Phone

(931) 261-7951

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Oct 10, 2015 through Oct 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Dentures & Implants - Sevierville VI, P.C.

  • General Practice Dentistry
  • Sevierville, TN
  • NPI 1568180404
  NPD (past)
• Michael E. Doyle, DDS PC

  • Dentist
  • Sevierville, TN
  • NPI 1124455910
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285711523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787B S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013806",
            "telephone_number": "931-528-2324",
            "fax_number": "931-528-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 W OAK DR",
            "address_2": "APT. F-4",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013779",
            "telephone_number": "931-261-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPPI",
        "first_name": "WILLIAM",
        "middle_name": "DAYE",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Peterman, CRNA
• Dianne Peterson, OM
• Bethany Petty, MS, RD
• Heather Renee Petty
• Pharmacist Home Medical Equipment
• Phillips Assisted Living Services
• Amanda Phillips
• Ashley Lashea Phillips, BEHAVIOR TECHNICIAN
• Brittney Phillips
• Heath Phillips, DDS

• General Practice Dentistry in Cookeville, TN
• Providers in Cookeville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.