Organization Active NPI

Gloria a Phillips DDS PC

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1700951654
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12379 Issued in TX
Legal business name
GLORIA A PHILLIPS DDS PC
Practice address
7707 Fannin St
Suite 153
Houston, TX 77054-1926
Phone
(713) 663-6019
Fax
(713) 795-5215
NPI assigned
Nov 22, 2006
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Gloria A Phillips
Title
Dentist
Phone
(713) 663-6019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12379 TX Primary

Addresses

Primary practice location

7707 Fannin St
Suite 153
Houston, TX 77054-1926

Mailing address

7707 Fannin St
Suite 153
Houston, TX 77054-1926
Phone (713) 663-6019

Other identifiers 1

IdentifierTypeStateIssuer
111267402MedicaidTX

National Provider Directory

National Provider Directory

Locations

7707 Fannin St
Ste 153
Houston, TX 77054
Phone (713) 663-6019

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1700951654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 153",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "713-663-6019",
            "fax_number": "713-795-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST",
            "address_2": "SUITE 153",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541926",
            "telephone_number": "713-663-6019",
            "fax_number": "713-795-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA A PHILLIPS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-663-6019"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "12379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111267402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.