NPIMap

Organization Active NPI

Paul Jeffrey Phillips D.D.S.

  • General Practice Dentistry
  • Oak Ridge, TN
National Provider Identifier
1417344078
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4350 Issued in TN
Legal business name
PAUL JEFFREY PHILLIPS D.D.S.
Practice address
400 Laboratory Rd
Suite 101
Oak Ridge, TN 37830-6810
Phone
(865) 483-7851
Fax
(865) 483-6391
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Paul Jeffrey Phillips, D.D.S.
Title
Owner/Dentist
Phone
(865) 483-7851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS4350 TN Primary

Addresses

Primary practice location

400 Laboratory Rd
Suite 101
Oak Ridge, TN 37830-6810

Mailing address

400 Laboratory Rd
Suite 101
Oak Ridge, TN 37830-6810
Phone (865) 483-7851

National Provider Directory

National Provider Directory
Tax ID family
Paul Jeffrey Phillips DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1417344078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD",
            "address_2": "SUITE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306810",
            "telephone_number": "865-483-7851",
            "fax_number": "865-483-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD",
            "address_2": "SUITE 101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306810",
            "telephone_number": "865-483-7851",
            "fax_number": "865-483-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL JEFFREY PHILLIPS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "865-483-7851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.