Individual provider Active NPI

Thomas James Filip, DMD

  • General Practice Dentistry
  • Keene, NH
National Provider Identifier
1790918837
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
04359 Issued in NH
Practice address
69 Island St Ste G
Keene, NH 03431-3507
Phone
(603) 352-0272
NPI assigned
Aug 24, 2009
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151119002000 NY Order and Referring Only - DentistPractitioner - Dentist 2264732486
I20160418000729 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2264732486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04359NHMDGeneral Practice Dentistry
22DI02435900NJMDGeneral Practice Dentistry
DS038001PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.