Organization Active NPI

Vincent P. Phillipino, Ddspc

  • Specialist
  • Falmouth, MA
National Provider Identifier
1386701381
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17649 Issued in MA
Legal business name
VINCENT P. PHILLIPINO, DDSPC
Practice address
16 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone
(508) 548-1667
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Vincent Paul Phillipino, DDSNPI 1902910094
Title
Oral Surgeon
Phone
(508) 548-1667

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17649 MA Primary

Addresses

Primary practice location

16 Bramble Bush Dr
Falmouth, MA 02540-2325

Mailing address

16 Bramble Bush Dr
Falmouth, MA 02540-2325
Phone (508) 548-1667

Other identifiers 2

IdentifierTypeStateIssuer
X11057OtherMABLUE CROSS BLUE SHIELD
16541OtherMAHARVARD PILGRIM HEALTH

Other names 1

  • Falmouth Oral Surgery Other name

National Provider Directory

National Provider Directory

Locations

16 Bramble Bush Dr
Falmouth, MA 02540
Phone (508) 548-1667

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1386701381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BRAMBLE BUSH DR",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402325",
            "telephone_number": "508-548-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT P. PHILLIPINO, DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "508-548-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "17649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X11057",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "16541",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Falmouth Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.