Active NPI
James Davidson Philbrick Jr., D.M.D.,F.A.G.D.
- General Practice Dentistry
- Florence, KY
National Provider Identifier
1730109794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4855
- Practice address
- 8449 US Highway 42
Suite K
Florence, KY 41042-8352 - Phone
- (859) 372-6300
- Fax
- (859) 372-6305
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4855 | KY | Primary |
| Dentist | 122300000X | 4855 | KY |
Addresses
Primary practice location
8449 US Highway 42
Suite K
Florence, KY 41042-8352
Mailing address
8449 US Highway 42
Suite K
Florence, KY 41042-8352
Phone (859) 372-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56-1660291 | Other | KY | TAX I.D. |
| 4855 | Other | KY | STATE LICENSE |
| 60048550 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4855 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dave Philbrick DMD PSC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Weaver Dental Care
- General Practice Dentistry
- Florence, KY
- NPI 1366729220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1730109794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8449 US HIGHWAY 42",
"address_2": "SUITE K",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410428352",
"telephone_number": "859-372-6300",
"fax_number": "859-372-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8449 US HIGHWAY 42",
"address_2": "SUITE K",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410428352",
"telephone_number": "859-372-6300",
"fax_number": "859-372-6305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBRICK",
"first_name": "JAMES",
"middle_name": "DAVIDSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.,F.A.G.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4855",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "4855",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX I.D.",
"identifier": "56-1660291",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4855",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60048550",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.