Active NPI
Philip Henry Washington III, DMD
- General Practice Dentistry
- Humacao, PR
National Provider Identifier
1477325678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 003481
- Practice address
- 200 Ocean Dr Apt 221
Humacao, PR 00791-6195 - Phone
- (248) 794-3169
- NPI assigned
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 003481 | PR | Primary |
Addresses
Primary practice location
200 Ocean Dr Apt 221
Humacao, PR 00791-6195
Mailing address
200 Ocean Dr Apt 221
Humacao, PR 00791-6195
Phone (248) 794-3169
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 |
|---|---|---|---|
| 003481 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1477325678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEAN DR APT 221",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916195",
"telephone_number": "248-794-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OCEAN DR APT 221",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916195",
"telephone_number": "248-794-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "PHILIP",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "003481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.