NPIMap

Organization Active NPI

Dave Philbrick DMD PSC

  • General Practice Dentistry
  • Florence, KY
National Provider Identifier
1366729220
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4855 Issued in KY
Legal business name
DAVE PHILBRICK DMD PSC
Practice address
8449 US Highway 42
Suite K
Florence, KY 41042-8352
Phone
(859) 372-6300
Fax
(859) 372-6305
NPI assigned
Nov 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Dr. James Davidson Philbrick, DMDNPI 1730109794
Title
President/Owner
Phone
(859) 372-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4855 KY Primary

Addresses

Primary practice location

8449 US Highway 42
Suite K
Florence, KY 41042-8352

Mailing address

8449 US Highway 42
Suite K
Florence, KY 41042-8352
Phone (859) 372-6300

Other identifiers 1

IdentifierTypeStateIssuer
60048550MedicaidKY

Other names 1

  • Weaver Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

8449 US Highway 42
Ste K
Florence, KY 41042
Phone (859) 372-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1366729220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8449 US HIGHWAY 42",
            "address_2": "SUITE K",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428352",
            "telephone_number": "859-372-6300",
            "fax_number": "859-372-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 US HIGHWAY 42",
            "address_2": "SUITE K",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410428352",
            "telephone_number": "859-372-6300",
            "fax_number": "859-372-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE PHILBRICK DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "PHILBRICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVIDSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "859-372-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60048550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weaver Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.