Organization Active NPI

Alexander Phillips DDS Inc

  • Dental Clinic/Center
  • Coronado, CA
National Provider Identifier
1912507948
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEXANDER PHILLIPS DDS INC
Practice address
120 C Ave Ste 100
Coronado, CA 92118-1992
Phone
(619) 435-6231
Fax
(619) 435-8234
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Dr. Alexander Phillips, DDSNPI 1427525740
Title
Owner
Phone
(626) 808-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

120 C Ave Ste 100
Coronado, CA 92118-1992

Mailing address

120 C Ave Ste 100
Coronado, CA 92118-1992
Phone (619) 435-6231

National Provider Directory

National Provider Directory

Locations

120 C Ave
Ste 100
Coronado, CA 92118
Phone (209) 518-9612

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1912507948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 C AVE STE 100",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181992",
            "telephone_number": "619-435-6231",
            "fax_number": "619-435-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 C AVE STE 100",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181992",
            "telephone_number": "619-435-6231",
            "fax_number": "619-435-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER PHILLIPS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-808-2497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.