Rosanna Bailey DDS,PC

Primary specialty

DentistTaxonomy code 122300000X

License

10344 Issued in MD

Legal business name

ROSANNA BAILEY DDS,PC

Practice address

15908 Crain Hwy Unit D
Brandywine, MD 20613-8032

Phone

(301) 782-9061

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rosanna Bailey, D.D.S.

Title

Dentist

Phone

(301) 782-9061

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1033591904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15908 CRAIN HWY UNIT D",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138032",
            "telephone_number": "301-782-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15908 CRAIN HWY UNIT D",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138032",
            "telephone_number": "301-782-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNA BAILEY DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "301-782-9061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "10344",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141405400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brandywine, MD
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• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.