Thomas Daniel Phelps, DMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

105 W 8TH Ave Ste 123C
Spokane, WA 99204-2323

Phone

(509) 474-7498

NPI assigned

Mar 30, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1710627419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIVER PLACE DR UNIT 337",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090058",
            "telephone_number": "678-389-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 8TH AVE STE 123C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042323",
            "telephone_number": "509-474-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "THOMAS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeline Phelps
• Brandi Phelps, DPT
• Brittany Phelps
• Danya Lee Phelps, L.M.P.
• Deforrest Lee Phelps, AAC
• Thomas Ian Phelps, M.D.
• Elizabeth Primrose Phenneger, DNP
• Lianna Jeanne Philbin, PHYSICAL THERAPIST
• Adam Severt Phillips
• Bethany Deborah Phillips, DMD

• Student in an Organized Health Care Education/Training Program in Spokane, WA
• Providers in Spokane, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.