Michael W. Bailey, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00004825 Issued in WA

Practice address

10211 144TH St E
Puyallup, WA 98374-4955

Phone

(253) 848-7281

Fax

(253) 841-7935

NPI assigned

Nov 7, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053480541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 144TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744955",
            "telephone_number": "253-848-7281",
            "fax_number": "253-841-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 144TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744955",
            "telephone_number": "253-848-7281",
            "fax_number": "253-841-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5006803",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DE00004825",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna M Baildon, RDN
• Anne Elizabeth Bailey, DPT
• Beth Elaine Bailey, RN, MN
• Christina Leigh Bailey, OD
• Jessica Bailey, ARNP
• Amanda Jo Baker, LMP
• Betsy R Baker
• Bruce K. Baker, DO
• Caelan Baker, DPT
• Joni Baker, ARNP

• Dentist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.