Organization Active NPI

Robert V Phillips DDS Inc

  • General Practice Dentistry
  • Davis, CA
National Provider Identifier
1518972991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24589 Issued in CA
Legal business name
ROBERT V PHILLIPS DDS INC
Practice address
1735 Oak Ave
Davis, CA 95616-1004
Phone
(530) 758-5580
Fax
(530) 758-4979
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Vincent Phillips, D.D.S.NPI 1790792208
Title
Pres./Treas
Phone
(530) 758-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24589 CA Primary

Addresses

Primary practice location

1735 Oak Ave
Davis, CA 95616-1004

Mailing address

1735 Oak Ave
Davis, CA 95616-1004
Phone (530) 758-5580

National Provider Directory

National Provider Directory

Locations

1735 Oak Ave
Davis, CA 95616
Phone (530) 758-5580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518972991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161004",
            "telephone_number": "530-758-5580",
            "fax_number": "530-758-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161004",
            "telephone_number": "530-758-5580",
            "fax_number": "530-758-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V PHILLIPS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRES./TREAS",
        "authorized_official_telephone_number": "530-758-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.