DR. NATHAN ALEXANDER PHILLIPS (NPI# 1952381899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952381899 |
| Entity Type | Individual |
| Full Name | DR. NATHAN ALEXANDER PHILLIPS |
| Credential | DDS |
| Practice Address |
301 Oak Tree Ln Dakota Dunes SD 57049 |
| Mailing Address |
301 Oak Tree Ln Dakota Dunes SD 57049-5095 |
| Practice Telephone | 6052420107 |
| Practice Fax Number | 6052420145 |
| Mailing Telephone | 6052420107 |
| Mailing Fax Number | 6052420145 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
09366 | IA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D1140 | SD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 1548304710 | 05 | |
| SD | DELTA DENTAL OF SD | 1548304710 | 01 |
| IA | DELTA DENTAL OF IOWA | 1548304710 | 01 |
| NE | 91201365400 | 05 | |
| SD | BC/BS OF SD | 1548304710 | 01 |
| IA | BC/BS OF IA | 1548304710 | 01 |
| IA | 1548304710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799299 | Nathan Phillips | Chiropractor | 3703 Columbus Ave, Sandusky, OH 44870-5719 | 2020-04-23 |
| 1336517853 | Nathan Phillips | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-15 |
| Street Address |
301 OAK TREE LN |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270590 | Jared Eric Dye | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2011-05-26 |
| 1417164369 | Clinton E Norby | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2007-05-17 |
| 1548304710 | Oral Surgery Assocates, P.C. | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049-5095 | 2007-02-19 |
| 1073687711 | Jeffrey S Dean | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710270590 | Jared Eric Dye | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2011-05-26 |
| 1417164369 | Clinton E Norby | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2007-05-17 |
| 1548304710 | Oral Surgery Assocates, P.C. | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049-5095 | 2007-02-19 |
| 1073687711 | Jeffrey S Dean | Dentist | 301 Oak Tree Ln, Dakota Dunes, SD 57049 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821118480 | Brent Jason Henriksen | Dentist | 1700 S. Southeastern Ave., River Ridge Oral and Maxillofacial Surgical Center, Sioux Falls, SD 57103 | 2007-03-29 |
| 1720116866 | Kenneth Vanasma | Dentist | 15308 Grand View Dr, Piedmont, SD 57769-7326 | 2007-03-01 |
| 1720126220 | Gregory P Williams | Dentist | 330 E Stumer Rd, Rapid City, SD 57701-6406 | 2007-02-05 |
| 1104984483 | Carl Mccamey Kimbler | Dentist | 820 1st Ave Se, Suite 400, Aberdeen, SD 57401-4601 | 2006-12-05 |
| 1649241407 | Harvey A Akerson | Dentist | 6401 S Minnesota Ave, Sioux Falls, SD 57108-2504 | 2006-01-30 |
| 1376522714 | River Ridge Oral & Maxillofacial Surgical Center | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103-3227 | 2006-01-13 |
| 1487639316 | Bruce Evan Partnoy | Dentist | 5200 S Cliff Ave, Suite 102, Sioux Falls, SD 57108 | 2005-12-14 |
| 1588083711 | Trevor Holleman | Dentist | 1700 S Southeastern Ave, Sioux Falls, SD 57103 | 2014-04-15 |
| 1518219633 | Community Health Center of The Black Hills, Inc | Dentist | 350 Pine Street, Rapid City, SD 57701 | 2012-10-12 |
| 1407091424 | Williams Oral and Maxillofacial Surgery, Prof. L.L.C. | Dentist | 330 E Stumer Rd, Rapid City, SD 57701-6406 | 2008-12-04 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.