Phipps Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PHIPPS FAMILY DENTISTRY

Practice address

807 W Centerton Blvd
Centerton, AR 72719-9705

Phone

(479) 244-6616

Fax

(479) 224-6749

NPI assigned

May 25, 2020

Last updated

May 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Phipps, DDSNPI 1225581606

Title

Owner/President

Phone

(479) 224-6616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Jason Phipps, D.D.S

  • General Practice Dentistry
  • Centerton, AR
  • NPI 1225581606
  NPD Authorized official

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1306469382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199705",
            "telephone_number": "479-244-6616",
            "fax_number": "479-224-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199705",
            "telephone_number": "479-244-6616",
            "fax_number": "479-224-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIPPS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "479-224-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216685608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Vision Development Center Inc.
• Lena Caroline Petersen, NP
• Petty and Petty, P. a. (Centerton Family Eyecare, P.A.)
• Megan Jo Petty, O.D.
• Regan Skye Petty, O.D.
• Andrew Jason Phipps, D.D.S
• Eric Alan Phipps, D.C.
• Ronny Gene Phipps, MD
• Purple W.I.N.G.S Counseling Services, LLC
• Reeves Medical Associates, PLLC (ReevesMed)

• Dentist in Centerton, AR
• Providers in Centerton, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.