Walter Lee Phillips, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

0401-007471 Issued in VA

Practice address

4700 Fort Ave
Lynchburg, VA 04502

Phone

(434) 239-7411

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• W.Lee Phillips D.D.S.,P.C.

  • General Practice Dentistry
  • Lynchburg, VA
  • NPI 1245663863
  Authorized official Same address or phone

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316035033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 FORT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "04502",
            "telephone_number": "434-239-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 FORT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "04502",
            "telephone_number": "434-239-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "WALTER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401-007471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "196318",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah D Phifer
• Samantha Marie Phifer
• Clifford Isaac Phillips, OD
• Jennifer Marie Phillips, FNP-C
• Robert Terry Phillips, LPC
• Physician Associates of Central Virginia, LLC
• Physicians Treatment Center
• Physicians Treatment Center Inc
• Breanne A Piatt, ATC
• Jerry Vance Pickard, EDD, ATC, LAT

• Dentist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Dentist in Virginia

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.