Organization Active NPI

Thomas L. Phillips, Jr. D.D.S.

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1407198369
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13496 Issued in TX
Legal business name
THOMAS L. PHILLIPS, JR. D.D.S.
Practice address
1436 W Pulaski St
Fort Worth, TX 76104-2716
Phone
(817) 335-1125
Fax
(817) 335-2029
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Thomas L. Phillips. Jr.
Title
Owner
Phone
(817) 335-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13496 TX Primary

Addresses

Primary practice location

1436 W Pulaski St
Fort Worth, TX 76104-2716

Mailing address

1436 W Pulaski St
Fort Worth, TX 76104-2716
Phone (817) 335-1125

National Provider Directory

National Provider Directory

Locations

1436 W Pulaski St
Fort Worth, TX 76104
Phone (817) 335-1125

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": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1407198369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 W PULASKI ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042716",
            "telephone_number": "817-335-1125",
            "fax_number": "817-335-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 W PULASKI ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042716",
            "telephone_number": "817-335-1125",
            "fax_number": "817-335-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. PHILLIPS, JR. D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS. JR.",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-335-1125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13496",
            "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 19, 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.