NPIMap

Organization Active NPI

Scott B Phillippi DDS LLC

  • Dental Clinic/Center
  • Huber Heights, OH
National Provider Identifier
1649666355
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30022577 Issued in OH
Legal business name
SCOTT B PHILLIPPI DDS LLC
Practice address
5221 Waynetowne CT
Huber Heights, OH 45424-2124
Phone
(937) 237-0360
Fax
(937) 237-2707
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Scott Bradford Phillippi, DDS
Title
Owner
Phone
(937) 554-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30022577 OH Primary

Addresses

Primary practice location

5221 Waynetowne CT
Huber Heights, OH 45424-2124

Mailing address

5221 Waynetowne CT
Huber Heights, OH 45424-2124
Phone (937) 237-0360

Other identifiers 1

IdentifierTypeStateIssuer
1649479643OtherOHINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

5221 Waynetowne Ct
Ste B
Huber Heights, OH 45424
Phone (937) 237-0360

5221 Waynetowne Ct
Huber Heights, OH 45424
Phone (937) 237-0360

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1649666355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 WAYNETOWNE CT",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242124",
            "telephone_number": "937-237-0360",
            "fax_number": "937-237-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 WAYNETOWNE CT",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242124",
            "telephone_number": "937-237-0360",
            "fax_number": "937-237-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B PHILLIPPI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPPI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-554-0861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30022577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649479643",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.