Active NPI
Phillip Allen Piper
- Case Management Agency
- Stafford, TX
National Provider Identifier
1770348526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 16789656
- Practice address
- 615 Reva Ridge Dr
Stafford, TX 77477-6335 - Phone
- (832) 372-8246
- NPI assigned
- Feb 20, 2024
- Last updated
- Feb 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 16789656 | TX | Primary |
Addresses
Primary practice location
615 Reva Ridge Dr
Stafford, TX 77477-6335
Mailing address
2205 Williams Trace Blvd Ste 105
Sugar Land, TX 77478-4443
Phone (832) 303-2333
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 |
|---|---|---|---|
| 16789656 | TX | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1770348526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 WILLIAMS TRACE BLVD STE 105",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784443",
"telephone_number": "832-303-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 REVA RIDGE DR",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774776335",
"telephone_number": "832-372-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "PHILLIP",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "16789656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
- Jakalin Chenelle Pickens, RN
- Jasminn Pickens, BT
- Lauren Pierce
- Lindsey Pierce
- Pillcraft Pharmacy
- Pizzazz Exports Inc (Pizzazz Healthcare Systems)
- Planned Parenthood Gulf Coast, Inc.
- Planned Parenthood of Greater Texas Family Planning & Preventative Hea
- Platinum Care Pharmacy LLC (Platinum Care Pharmacy)
- Platinum EMS Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.