Active NPI
Wesley Phillips, D.D.S.
- Dentist
- Columbia, SC
National Provider Identifier
1902172711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8332
- Practice address
- 515 Richland Street
Columbia, SC 29201 - Phone
- (304) 288-7363
- NPI assigned
- Mar 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8332 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 3896 | WV | |
| General Practice Dentistry | 1223G0001X | 9151 | KY |
Addresses
Primary practice location
515 Richland Street
Columbia, SC 29201
Mailing address
515 Richland Street
Columbia, SC 29201
Phone (304) 288-7363
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 |
|---|---|---|---|
| 8332 | SC | MD | Dentist |
| 9151 | KY | MD | General Practice Dentistry |
| 3896 | WV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1902172711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 RICHLAND STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "304-288-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 RICHLAND STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201",
"telephone_number": "304-288-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-26",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8332",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3896",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Katharine McChesney Phillips, PA
- Leslie M Phillips, PHARMD
- Morgan Elise Phillips, D.M.D.
- Shannon Elizabeth Phillips
- Sheketha Phillips, AAS,
- Amy Phillipy, RN, BSN
- Aimee Phipps, LISW-CP
- Phoebe a. McLeod, PH.D.
- Phoenix Philosophies Counseling & Consulting LLC
- Phoenix Rehabilitation and Health Services of South Carolina, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.