Individual provider Active NPI

Phillip Michael Platt, DDS

  • Dentist
  • Rogers, AR
National Provider Identifier
1295226959
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4268 Issued in AR
Practice address
14533 E Highway 12
Rogers, AR 72756-8087
Phone
(479) 925-3632
Fax
(479) 925-3660
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4268 AR Primary

Addresses

Primary practice location

14533 E Highway 12
Rogers, AR 72756-8087

Mailing address

14533 E Highway 12
Rogers, AR 72756-8087
Phone (479) 925-3632

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
4268ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip Platt, D.D.S, PLLC CurrentSince Aug 7, 2022 Accepting new patients
Dane L. Hollis,D.D.S.,P.C. PastSince Aug 7, 2022 Accepting new patients

Locations

14533 E Highway 12
Rogers, AR 72756
Phone (479) 925-3632

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1295226959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 E HIGHWAY 12",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568087",
            "telephone_number": "479-925-3632",
            "fax_number": "479-925-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 E HIGHWAY 12",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727568087",
            "telephone_number": "479-925-3632",
            "fax_number": "479-925-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.