Sidney Warren Phillips Jr., D.D.S., M.S., P.A.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6859 Issued in NC

Practice address

2606 New Village Way
Wilmington, NC 28405-7426

Phone

(910) 392-5773

Fax

(910) 392-6249

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518044718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 NEW VILLAGE WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057426",
            "telephone_number": "910-392-5773",
            "fax_number": "910-392-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 NEW VILLAGE WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057426",
            "telephone_number": "910-392-5773",
            "fax_number": "910-392-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SIDNEY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.S., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "6859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip J Kohut DMD PLLC (Northchase Family Dentistry)
• Amelia Phillips, VSP, MSW, LCSWA
• Dianne S Phillips, LPC
• Jennifer Marie Phillips, OTRL
• Krystal Phillips
• Zoie Brianne Phillips, PA-C
• Phoenix Rehabilitation Associates, Inc.
• Phoenix Therapy & Wellness, PLLC
• Phyllis B. Cook, DDS, PA
• Phyllis Coulter Everett (Sapient Health Services)

• Orthodontics and Dentofacial Orthopedics Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• 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.

Verify at the official NPI Registry.