Active NPI
Tina M Phillips, RDH
- Dental Hygienist
- Cherry Hill, NJ
National Provider Identifier
1487857637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- HI003838
- Practice address
- 820 Kings Hwy S
Cherry Hill, NJ 08034-2520 - Phone
- (856) 428-8822
- NPI assigned
- Jun 6, 2007
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | HI003838 | NJ | Primary |
Addresses
Primary practice location
820 Kings Hwy S
Cherry Hill, NJ 08034-2520
Mailing address
3 Funny Bone CT
Sicklerville, NJ 08081-4844
Phone (856) 629-3466
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 |
|---|---|---|---|
| HI003838 | NJ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tisot & Tisot | Past | Accepting new patients | |
| Jodi B. Meadvin DMD LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Cherry Hill, NJ
- NPI 1871997825
-
- Periodontics
- Cherry Hill, NJ
- NPI 1124220454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487857637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 FUNNY BONE CT",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814844",
"telephone_number": "856-629-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 KINGS HWY S",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342520",
"telephone_number": "856-428-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NJ",
"license": "HI003838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.