NPIMap

Organization Active NPI

John L. Phillips, DDS,PA

  • Dental Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1932371697
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6772 Issued in NC
Legal business name
JOHN L. PHILLIPS, DDS,PA
Practice address
201 S McPherson Church Rd Ste 102
Fayetteville, NC 28303-4913
Phone
(910) 438-9400
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. John Lloyd Phillips, DDSNPI 1144359480
Title
President
Phone
(910) 822-8221

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 6772 NC Primary

Addresses

Primary practice location

201 S McPherson Church Rd Ste 102
Fayetteville, NC 28303-4913

Mailing address

405 Shawcroft Rd
Fayetteville, NC 28311-2946
Phone (910) 822-8221

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1932371697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SHAWCROFT RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112946",
            "telephone_number": "910-822-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MCPHERSON CHURCH RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034913",
            "telephone_number": "910-438-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. PHILLIPS, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-822-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.