NPIMap

Organization Active NPI

Kent L. Phillips, D.D.S., M.S., LTB.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Henderson, NV
National Provider Identifier
1659406395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KENT L. PHILLIPS, D.D.S., M.S., LTB.
Practice address
390 N Stephanie St
Suite 104
Henderson, NV 89014-8028
Phone
(702) 565-4646
Fax
(702) 565-7069
NPI assigned
Feb 22, 2007
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. Kent L Phillips, D.D.S.,M.S.
Title
Doctor
Phone
(775) 332-1750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

390 N Stephanie St
Suite 104
Henderson, NV 89014-8028

Mailing address

390 N Stephanie St
Suite 104
Henderson, NV 89014-8028
Phone (702) 565-4646

National Provider Directory

National Provider Directory
Tax ID family
Kent L Phillips DDS Ms LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N STEPHANIE ST",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148028",
            "telephone_number": "702-565-4646",
            "fax_number": "702-565-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N STEPHANIE ST",
            "address_2": "SUITE 104",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148028",
            "telephone_number": "702-565-4646",
            "fax_number": "702-565-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT L. PHILLIPS, D.D.S., M.S., LTB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "775-332-1750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

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.