Individual provider Active NPI

Brit D Phillips, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1356684278
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15944 Issued in TX
Practice address
6610 Bryant Irvin Rd Ste 100
Fort Worth, TX 76132-4225
Phone
(817) 361-1999
Fax
(817) 361-1325
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15944 TX Primary

Addresses

Primary practice location

6610 Bryant Irvin Rd Ste 100
Fort Worth, TX 76132-4225

Mailing address

6610 Bryant Irvin Rd Ste 100
Fort Worth, TX 76132-4225
Phone (817) 361-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15944TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brit D Phillips DDS PA Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1356684278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 BRYANT IRVIN RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324225",
            "telephone_number": "817-361-1999",
            "fax_number": "817-361-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 BRYANT IRVIN RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324225",
            "telephone_number": "817-361-1999",
            "fax_number": "817-361-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRIT",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.