Active NPI
Thomas James Filip, DMD
- General Practice Dentistry
- Keene, NH
National Provider Identifier
1790918837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 04359
- Practice address
- 69 Island St Ste G
Keene, NH 03431-3507 - Phone
- (603) 352-0272
- NPI assigned
- Aug 24, 2009
- Last updated
- Jun 10, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS038001 | PA | |
| General Practice Dentistry | 1223G0001X | 057804 | NY | |
| General Practice Dentistry | 1223G0001X | 22DI02435900 | NJ | |
| General Practice Dentistry | 1223G0001X | 04359 | NH | Primary |
Addresses
Primary practice location
69 Island St Ste G
Keene, NH 03431-3507
Mailing address
69 Island St Ste G
Keene, NH 03431-3507
Phone (603) 352-0272
Other practice location 1
4705 44th St
Suite A2
Woodside, NY 11377-6348
Phone (718) 752-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119002000 | NY | Order and Referring Only - Dentist | 2264732486 | |
| I20160418000729 | PA | Order and Referring Only - Other (Physician) | 2264732486 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04359 | NH | MD | General Practice Dentistry |
| 22DI02435900 | NJ | MD | General Practice Dentistry |
| DS038001 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keene Smiles PC | Past | Accepting new patients | |
| LS Dental PC | General Practice | Past | Accepting new patients |
| Noble Dental Care, PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Keene, NH
- NPI 1730748146
-
- Dentist
- Keene, NH
- NPI 1457885287
-
- General Practice Dentistry
- Woodside, NY
- NPI 1609044023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1790918837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 ISLAND ST STE G",
"city": "KEENE",
"state": "NH",
"postal_code": "034313507",
"telephone_number": "603-352-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 ISLAND ST STE G",
"city": "KEENE",
"state": "NH",
"postal_code": "034313507",
"telephone_number": "603-352-0272"
}
],
"practiceLocations": [
{
"address_1": "4705 44th St",
"address_2": "Suite A2",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113776348",
"country_code": "US",
"telephone_number": "718-752-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILIP",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-24",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS038001",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "057804",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02435900",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NH",
"license": "04359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.