William Phillip, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6061 Issued in WA

Practice address

107 E Mount View Ave
Suite 2
Ellensburg, WA 98926-5312

Phone

(509) 962-8299

Fax

(509) 962-8289

NPI assigned

Jul 28, 2009

Last updated

Jul 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1346471190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MOUNT VIEW AVE",
            "address_2": "SUITE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265312",
            "telephone_number": "509-962-8299",
            "fax_number": "509-962-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MOUNT VIEW AVE",
            "address_2": "SUITE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265312",
            "telephone_number": "509-962-8299",
            "fax_number": "509-962-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Perry, ATC, LAT
• Christopher Peterson
• Haylee Jewel Peterson
• Carla Leerae Pfeffer, RDH
• Hang Ngoc Minh Pham, DNAP, CRNA
• Anna Parr Phillips, PA-C
• William Phillips, PA-C
• Rachael Pierce
• Lindsey Pinger, PHARM.D.
• Pinnacle Health Care LLC

• General Practice Dentistry in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.