Active NPI
Elizabeth T. Phillips, D.D.S.
- Dentist
- Carson City, MI
National Provider Identifier
1831384056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901017329
- Practice address
- 10274 E Boyer Rd
Carson City, MI 48811-9746 - Phone
- (989) 584-3941
- Fax
- (989) 584-6579
- NPI assigned
- Sep 11, 2007
- Last updated
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901017329 | MI | Primary |
Addresses
Primary practice location
10274 E Boyer Rd
Carson City, MI 48811-9746
Mailing address
PO Box 5000
Carson City, MI 48811-5000
Phone (989) 584-3941
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 |
|---|---|---|---|
| 2901017329 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1831384056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5000",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "488115000",
"telephone_number": "989-584-3941",
"fax_number": "989-584-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10274 E BOYER RD",
"city": "CARSON CITY",
"state": "MI",
"postal_code": "488119746",
"telephone_number": "989-584-3941",
"fax_number": "989-584-6579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ELIZABETH",
"middle_name": "T.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901017329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.