Active NPI
Emma Bale, DMD
- General Practice Dentistry
- Scottsville, KY
National Provider Identifier
1083058481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9212
- Practice address
- 306 B. N. CT. St.
Scottsville, KY 42164 - Phone
- (270) 237-3521
- Fax
- (843) 797-8189
- NPI assigned
- Apr 29, 2013
- Last updated
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8194 | SC | |
| General Practice Dentistry | 1223G0001X | 9212 | KY | Primary |
Addresses
Primary practice location
306 B. N. CT. St.
Scottsville, KY 42164
Mailing address
306 B N. CT. St.
Scottsville, KY 42164
Phone (502) 794-0135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140513000352 | SC | Order and Referring Only - Oral Surgery | 4486887759 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8194 | SC | MD | Professional Counselor |
| 9212 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1083058481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 B N. CT. ST.",
"city": "SCOTTSVILLE",
"state": "KY",
"postal_code": "42164",
"telephone_number": "502-794-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 B. N. CT. ST.",
"city": "SCOTTSVILLE",
"state": "KY",
"postal_code": "42164",
"telephone_number": "270-237-3521",
"fax_number": "843-797-8189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALE",
"first_name": "EMMA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8194",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "9212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsville, KY
- Allen County Health Department
- Allen County Health Dept
- Allen County Schools
- Aalia Ameen
- Aura Recovery Center LLC
- Sarah Beckham, RD, LD
- Annace Cathy Bledsoe, CASE MANAGER
- Boheme Holistic Clinical Services
- Bowling Green Warren County Community Hospital (The Medical Center (Scottsville))
- Bowling Green Warren County Community Hospital (Medequip)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.