Daniel D. Phelps, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6077 Issued in NC

Practice address

2471 Delaney Rd
Wilmington, NC 28403-6061

Phone

(910) 762-3481

Fax

(910) 762-0819

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Practice roles

Locations

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.

• East Carolina University

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• Phelps & Phelps, DDS, PA

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1659602498
  NPD (past) Authorized official
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD
• Jordan Bronstein DMD PLLC

  • Dental Clinic/Center
  • Wilmington, NC
  • NPI 1326867284
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326190364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036061",
            "telephone_number": "910-762-3481",
            "fax_number": "910-762-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036061",
            "telephone_number": "910-762-3481",
            "fax_number": "910-762-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DANIEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Lynne Pfister
• Melissa Gayle Pfitzer, PA-C
• Adam Pflum, M.D.
• Phelps & Phelps, DDS, PA
• Brian S. Phelps, CRNA
• Jenifer Phelps, NP
• Lisa E Phelps, DDS
• Cody Clinton Phen, DMD
• Whitney Andringa Philemon, MSW, LCSW
• Bridgette Philibert

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• 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.