Dr. Lonette S Phipps, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5045 Issued in AL

Legal business name

DR. LONETTE S PHIPPS, LLC

Practice address

2152 46TH Place Ensley
Birmingham, AL 35208-4602

Phone

(205) 788-8889

Fax

(208) 788-8890

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bennie L Phipps

Title

Ceo

Phone

(205) 788-8889

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Leonorda M Dysart, DMD

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1255483442
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1710163258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 46TH PLACE ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084602",
            "telephone_number": "205-788-8889",
            "fax_number": "208-788-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 46TH PLACE ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352084602",
            "telephone_number": "205-788-8889",
            "fax_number": "208-788-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LONETTE S PHIPPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-788-8889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51538521",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Kenneth Frank Tichansky D.M.D.
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• Dr. Sudha Gutti, DMD. Inc.

• Dental Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.