DR. JOHN R PHILLIPS (NPI# 1356483523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356483523 |
| Entity Type | Individual |
| Full Name | DR. JOHN R PHILLIPS |
| Credential | DMD |
| Practice Address |
118 Caroline Ave Suite 1 Pikeville KY 41501 |
| Mailing Address |
Po Box 989 Pikeville KY 41502 |
| Practice Telephone | 6064328165 |
| Practice Fax Number | 6064371085 |
| Mailing Telephone | 6064328165 |
| Mailing Fax Number | 6064371085 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3929 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60039294 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659638815 | John Gray Phillips | Neurological Surgery | 224 Malibu Cv, Barefoot Beach, FL 34134-8536 | 2012-04-12 |
| 1306155320 | John Boyatt Phillips | Mechanotherapist | 726 E Hayden St, Pocatello, ID 83201-6226 | 2010-09-27 |
| 1831428788 | John Paul Phillips | Neurological Surgery | 6480 N Lake Blvd, Tahoe Vista, CA 96148-0379 | 2009-12-23 |
| 1376769760 | John Doss Phillips | Physical Therapist | 3409 Swisher Rd, Denton, TX 76208-7357 | 2007-04-17 |
| 1144359480 | John Lloyd Phillips | Dentist | 201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913 | 2007-03-04 |
| 1124160296 | John Martin Phillips II | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2007-02-13 |
| 1447327937 | John C Phillips | Internal Medicine | 1726 East Carson Street, Pittsburgh, PA 15203 | 2006-11-29 |
| 1255432738 | John Scott Phillips | Podiatrist | 883 London Ave Ste C, Marysville, OH 43040-9166 | 2006-09-26 |
| 1467559559 | John Michael Phillips | Physical Therapist | 700 River Avenue, Ste B, Iron Mountain, MI 49801 | 2006-09-20 |
| 1477567485 | John H Phillips | Internal Medicine | 1037 Sw 5th Ave, Ontario, OR 97914-3301 | 2006-07-27 |
| Street Address |
118 CAROLINE AVE SUITE 1 |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649692344 | Alcohol and Substance Abuse Professionals | Community/Behavioral Health | 118 Caroline Ave, Suite 2, Pikeville, KY 41501-3988 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801399357 | Jacob Linton Sword | Dentist | 161 College St Ste 3, Pikeville, KY 41501-4786 | 2018-03-12 |
| 1659408052 | Keaton Orthodontics, Psc | Dentist | 384 North Mayo Trail, Unit A, Pikeville, KY 41501 | 2007-02-27 |
| 1992847008 | Tom E. Hartsock | Dentist | 161 College St, Suite #3, Pikeville, KY 41501-4786 | 2007-02-13 |
| 1811039258 | Andy Paul Keaton | Dentist | 384 N Mayo Trl, Unit A, Pikeville, KY 41501-1493 | 2007-02-13 |
| 1790999142 | Barbara J Williams | Dentist | 126 Williams Dr, Pikeville, KY 41501-1373 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089231 | Brian Barrett Glatt | Dentist | 304 Axis Dr Apt 201, Louisville, KY 40206-0169 | 2019-05-23 |
| 1669038105 | Smile Doctors of Kentucky Psc | Dentist | 1481 Cavalry Ln Ste 100, Florence, KY 41042-8428 | 2019-05-09 |
| 1942760996 | Danielle Cianciolo | Dentist | 205 Tyne Rd, Louisville, KY 40207-3443 | 2019-03-24 |
| 1033604327 | Bbb of In, LLC | Dentist | 11801 Brinley Ave Ste 100, Louisville, KY 40243-3006 | 2018-06-28 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1073012514 | Carli Loss | Dentist | 800 Rose St Dental Science Building, Lexington, KY 40536-7001 | 2018-02-11 |
| 1548778038 | Julie J Rambo | Dentist | 620 Perimeter Dr Ste 207, Lexington, KY 40517-4125 | 2018-01-18 |
| 1992235089 | Justin A Wedding Psc | Dentist | 2816 Veach Rd Ste 301, Owensboro, KY 42303-6297 | 2017-06-12 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1710371372 | Lauren Delpont Morris | Dentist | 860 Corporate Dr Ste 201, Lexington, KY 40503-5427 | 2015-03-22 |
| 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.