Active NPI
Philip T. Philip, DMD
- General Practice Dentistry
- Kissimmee, FL
National Provider Identifier
1649230798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17328
- Practice address
- 1064 E Osceola Pkwy
Kissimmee, FL 34744-1607 - Phone
- (407) 932-2273
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN17328 | FL | Primary |
Addresses
Primary practice location
1064 E Osceola Pkwy
Kissimmee, FL 34744-1607
Mailing address
14578 Cableshire Way
Orlando, FL 32824-4200
Phone (407) 346-4872
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 |
|---|---|---|---|
| DN17328 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1649230798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14578 CABLESHIRE WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328244200",
"telephone_number": "407-346-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441607",
"telephone_number": "407-932-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "PHILIP",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.