NPIMap

Organization Active NPI

James B Phillips, Ms, DDS, PA

  • Dental Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1346510591
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2341 Issued in AR
Legal business name
JAMES B PHILLIPS, MS, DDS, PA
Practice address
2609 Browns LN
Jonesboro, AR 72401-7227
Phone
(870) 931-3000
Fax
(870) 931-0190
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. James B Phillips, MS, DDS
Title
President
Phone
(870) 931-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2341 AR Primary

Addresses

Primary practice location

2609 Browns LN
Jonesboro, AR 72401-7227

Mailing address

2609 Browns LN
Jonesboro, AR 72401-7227
Phone (870) 931-3000

Other identifiers 2

IdentifierTypeStateIssuer
T20364OtherARUPIN
173346680MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
James B Phillips Ms DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1346510591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017227",
            "telephone_number": "870-931-3000",
            "fax_number": "870-931-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017227",
            "telephone_number": "870-931-3000",
            "fax_number": "870-931-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B PHILLIPS, MS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-931-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T20364",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173346680",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.