Individual provider Active NPI

Philnita R Hines Tolbert, DDS

  • Dentist
  • Ypsilanti, MI
National Provider Identifier
1285889170
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901018682 Issued in MI
Practice address
124 Pearl St Ste 207
Ypsilanti, MI 48197-5375
Phone
(734) 481-0180
NPI assigned
Nov 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901018682 MI Primary

Addresses

Primary practice location

124 Pearl St Ste 207
Ypsilanti, MI 48197-5375

Mailing address

124 Pearl St Ste 207
Ypsilanti, MI 48197-5375
Phone (734) 481-0180

Other names 1

  • Dr. Philnita R Hines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000939 MI Order and Referring Only - DentistPractitioner - Dentist 6507155942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philnita R.H. Tolbert, DDS PLLC Current Accepting new patients
Ypsilanti Family & Cosmetic Dentistry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1285889170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 207",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975375",
            "telephone_number": "734-481-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PEARL ST STE 207",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975375",
            "telephone_number": "734-481-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "PHILNITA",
        "middle_name": "R HINES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILNITA",
            "last_name": "HINES",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.