Dustin Bailey, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202891 Issued in CO

Practice address

16900 E Quincy Ave
Unit B
Aurora, CO 80015-3299

Phone

(303) 617-4488

NPI assigned

Oct 11, 2016

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Modern Dentists, LLP

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1730496969

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2016.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1033669239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 E QUINCY AVE",
            "address_2": "UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800153299",
            "telephone_number": "303-617-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 E QUINCY AVE",
            "address_2": "UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800153299",
            "telephone_number": "303-617-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "DUSTIN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa V Bailey-Martin
• Brandon Oneal Bailey, BCAT
• Casey E Bailey, CNM
• Cherlyn Bailey, NP
• Darby Bailey
• Jennifer Bailey, RN
• Kelly C Bailey
• Lori A Bailey, APRN
• Mollie Georgette Bailey, PA
• Nathaniel Bailey

• All providers in Aurora, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.