Stanley J Phillips DPM PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

27973660501 Issued in UT

Legal business name

STANLEY J PHILLIPS DPM PC

Practice address

9690 S 1300 E
Ste 120
Sandy, UT 84094-3798

Phone

(801) 501-4335

Fax

(801) 501-4338

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Stanley J Phillips, DPM

Title

PC

Phone

(801) 501-4335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1750554838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 S 1300 E",
            "address_2": "STE 120",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943721",
            "telephone_number": "801-501-4335",
            "fax_number": "801-501-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 S 1300 E",
            "address_2": "STE 120",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943798",
            "telephone_number": "801-501-4335",
            "fax_number": "801-501-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J PHILLIPS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "801-501-4335",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "27973660501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.