DR. KEITH MARTIN PHILLIPS (NPI# 1063638310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063638310 |
| Entity Type | Individual |
| Full Name | DR. KEITH MARTIN PHILLIPS |
| Credential | D.M.D., M.S.D. |
| Practice Address |
5619 Valley Ave E Tacoma WA 98424-2060 |
| Practice Telephone | 2539225519 |
| Mailing Telephone | 2539225519 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
602396104 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405384 | Keith Phillips | Emergency Medical Technician, Basic | 39 Wilbur Ave, Newark, NJ 07112-2311 | 2019-03-07 |
| 1033695325 | Keith Phillips | Contractor | 22 Veterans Dr, Harrisburg, IL 62946-3320 | 2018-07-19 |
| 1417180308 | Keith A Phillips | Radiology | 1116 Millis Ave, Boonville, IN 47601-2226 | 2009-08-26 |
| 1457546749 | Keith Alexander Phillips | Dentist | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-09-10 |
| Street Address |
5619 VALLEY AVE E |
| City | TACOMA |
| State | WA |
| Zip Code | 98424-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447265 | Rachael E Vosika | Peer Specialist | 4210 20th St E Suite B&c, Fife, WA 98424 | 2018-11-27 |
| 1477023026 | Julie Ann Sawyer | Registered Nurse | 2150 Freeman Road East Ste 1, Fife, WA 98424 | 2018-11-27 |
| 1831668409 | Dorothy J Pierce | Counselor | 4210 20th St E Ste C, Fife, WA 98424 | 2018-11-13 |
| 1730606328 | Caitlin Anne Gallup | Specialist/Technologist | 4703 Pacific Hwy E Ste B, Fife, WA 98424 | 2017-08-24 |
| 1497121420 | Lane Whitaker Valentine | Massage Therapist | 6523 20th St E #4, Fife, WA 98424 | 2015-08-13 |
| 1609250646 | Enna Alexandra Codekas | Speech-Language Pathologist | 535 Dock Street, Suite 104, Tacoma, WA 98424 | 2015-07-18 |
| 1457608002 | Timothy Edward Day | Pharmacist | 522 64th Avenue Ct E, Fife, WA 98424 | 2012-08-13 |
| 1861768400 | Ryan Milo Glover | Pharmacist | 3700 Pacific Highway East, Suite 100, Fife, WA 98424 | 2012-03-28 |
| 1962794719 | Hongbunareth Hirata | Massage Therapist | 6329 Discovery St E, Fife, WA 98424 | 2011-05-12 |
| 1811155930 | Mvp Physical Therapy, Inc. | Massage Therapist | 502 54th Ave. E., Fife, WA 98424 | 2008-05-27 |
| Find all providers in zip 98424 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083324 | John Constantine Kois | Dentist | 5615 Valley Ave E, Tacoma, WA 98424-2060 | 2006-09-15 |
| 1972546646 | Ajey Varma | Dentist | 2302 S. Union Ave., #b-17, Tacoma, WA 98405 | 2006-06-13 |
| 1649332396 | Neal A Andren | Dentist | 101 E 26th St, Tacoma, WA 98421-1108 | 2006-12-15 |
| 1114906484 | George Andrew Gonzalez | Dentist | 9600 Veterans Dr Sw, American Lake Vamc (a-112-dent), Tacoma, WA 98493-0003 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184459 | Pi-yu Hsu | Dentist | 509 Olive Way Ste 1043, Seattle, WA 98101-1724 | 2019-09-27 |
| 1295383925 | K Miller Dds Ms Pllc | Dentist | 9800 Ne 120th Pl Ste C, Kirkland, WA 98034-4220 | 2019-08-27 |
| 1205394681 | Dana Buglione | Dentist | 1959 Ne Pacific St Hsb Room B-469, Seattle, WA 98195-0001 | 2019-03-05 |
| 1548779515 | Northwest Center for Prosthodontics | Dentist | 3425 Ensign Rd Ne Ste 210, Olympia, WA 98506-5063 | 2017-09-22 |
| 1275089872 | Timothy J. Butson Dmd, Msd, Pllc | Dentist | 600 University St Ste 819, Seattle, WA 98101-4117 | 2016-09-01 |
| 1659724102 | Will Eunku Chung II Dds Msd Pllc | Dentist | 509 Olive Way Ste 1416, Seattle, WA 98101-1749 | 2016-07-20 |
| 1609229699 | Albert Chung Dental Clinic | Dentist | 12715 Bel Red Rd Ste 201, Bellevue, WA 98005-2627 | 2016-07-14 |
| 1831558907 | Ellis Jardine, Dmd, Pllc | Dentist | 1401 Nw 1st St Ste 120, Battle Ground, WA 98604-4540 | 2016-02-18 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1649642638 | Northwest Implants and Sleep Dentistry | Dentist | 9911 N. Nevada Ave, Suite 120, Spokane, WA 99218-2500 | 2015-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.