Active NPI
Megan Keiko Phillip, D.D.S.
- Pediatric Dentistry
- Kissimmee, FL
National Provider Identifier
1386271377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN26417
- Practice address
- 1319 E Osceola Pkwy Ste C
Kissimmee, FL 34744-1606 - Phone
- (407) 343-0509
- NPI assigned
- Mar 27, 2020
- Last updated
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN26417 | FL | Primary |
Addresses
Primary practice location
1319 E Osceola Pkwy Ste C
Kissimmee, FL 34744-1606
Mailing address
3020 Hartley Rd Ste 210
Jacksonville, FL 32257-8231
Phone (904) 395-7772
Other practice location 1
595 Oak Commons Blvd Ste C
Kissimmee, FL 34741-4211
Phone (407) 870-0717
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN26417 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard University College of Dentistry | Past | Accepting new patients | |
| Howard University College of Dentisty | Past | Accepting new patients | |
| Smiling Kidds Dentistry, P.a. | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Economy Dentistry for Children
- Pediatric Dentistry
- Jacksonville, FL
- NPI 1962000323
-
- Dental Clinic/Center
- Washington DC, DC
- NPI 1497991657
-
- Dentist
- Washington, DC
- NPI 1700021771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1386271377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HARTLEY RD STE 210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322578231",
"telephone_number": "904-395-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 E OSCEOLA PKWY STE C",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441606",
"telephone_number": "407-343-0509"
}
],
"practiceLocations": [
{
"address_1": "595 Oak Commons Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414211",
"country_code": "US",
"telephone_number": "407-870-0717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIP",
"first_name": "MEGAN",
"middle_name": "KEIKO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN26417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.