Individual provider Active NPI

Bailey Coleman, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1043570120
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6382 Issued in OK
Practice address
228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217
Phone
(405) 232-8743
Fax
(405) 232-2309
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6382 OK Primary

Addresses

Primary practice location

228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217

Mailing address

228 Robert S Kerr Ave
Suite 130
Oklahoma City, OK 73102-5217
Phone (405) 232-8743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6382OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas G. Woodson, DDS PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1043570120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ROBERT S KERR AVE",
            "address_2": "SUITE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025217",
            "telephone_number": "405-232-8743",
            "fax_number": "405-232-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 ROBERT S KERR AVE",
            "address_2": "SUITE 130",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025217",
            "telephone_number": "405-232-8743",
            "fax_number": "405-232-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.