NPIMap

Organization Active NPI

Phelps & Phelps, DDS, PA

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1659602498
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6077 Issued in NC
Legal business name
PHELPS & PHELPS, DDS, PA
Practice address
2471 Delaney Rd
Wilmington, NC 28403-6061
Phone
(910) 762-3481
Fax
(910) 762-0819
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Daniel D Phelps, DDSNPI 1326190364
Title
Vice President
Phone
(910) 762-3481

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6077 NC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6078 NC

Addresses

Primary practice location

2471 Delaney Rd
Wilmington, NC 28403-6061

Mailing address

2471 Delaney Rd
Wilmington, NC 28403-6061
Phone (910) 762-3481

National Provider Directory

National Provider Directory

Locations

2471 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-3481

Practitioners & affiliated clinicians

Practitioners 2

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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1659602498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036061",
            "telephone_number": "910-762-3481",
            "fax_number": "910-762-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 DELANEY RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036061",
            "telephone_number": "910-762-3481",
            "fax_number": "910-762-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS & PHELPS, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-762-3481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6077",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.