Lisa Datta Phillips, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10072 Issued in CO

Practice address

14422 Orchard Pkwy
Ste 200
Westminster, CO 80023-9273

Phone

(303) 452-0811

NPI assigned

May 19, 2007

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hope Pediatric Dentistry, PLLC

  • Dental Clinic/Center
  • Westminster, CO
  • NPI 1801352851
  NPD Authorized official
• Orchard Dental Group and Orthodontics, LLP

  dba Orchard Dental Group and Orthodontics

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1659519460
  NPD (past)

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1770791956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14073 DETROIT DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806028874",
            "telephone_number": "813-404-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 ORCHARD PKWY",
            "address_2": "STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239273",
            "telephone_number": "303-452-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LISA",
        "middle_name": "DATTA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17862",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Pfefferle, MA, LPC
• Catherine Marie Pfeiffer
• Dana Rae Pfluger, NP
• Mary Pham
• Sophia Pham, OD
• John C Philman, NP
• Lake David Philpot, MFTC
• John Phinney, PT
• Damon Phouvanay
• Physical Therapy & Rehabilitation Services, PC

• Dentist in Westminster, CO
• Providers in Westminster, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.