Organization Active NPI

East Sac Dental, the Dental Office of Dr Paul Phillips & Assoc., Inc

Doing business as East Sac Dental

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1689430522
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EAST SAC DENTAL, THE DENTAL OFFICE OF DR PAUL PHILLIPS & ASSOC., INC
Doing business as
East Sac Dental
Practice address
1273 32ND St
Sacramento, CA 95816-5209
Phone
(916) 452-7874
Fax
(916) 452-9139
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dr. Paul Phillips, DDSNPI 1356440168
Title
Owner
Phone
(916) 452-7874

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 DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1273 32ND St
Sacramento, CA 95816-5209

Mailing address

1273 32ND St
Sacramento, CA 95816-5209
Phone (916) 452-7874

Other names 1

  • East Sac Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1273 32nd St
Sacramento, CA 95816
Phone (916) 452-7874

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1689430522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 32ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165209",
            "telephone_number": "916-452-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 32ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165209",
            "telephone_number": "916-452-7874",
            "fax_number": "916-452-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SAC DENTAL, THE DENTAL OFFICE OF DR PAUL PHILLIPS & ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-452-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Sac Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.