Richard E. Bailey, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3256 Issued in ID

Practice address

301 Quail Run Dr
Moscow, ID 83843-8205

Phone

(509) 336-8478

NPI assigned

May 7, 2007

Last updated

Jan 4, 2016By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1083827083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 QUAIL RUN DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438205",
            "telephone_number": "208-336-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 QUAIL RUN DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438205",
            "telephone_number": "509-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806766401",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michelle Elizabeth Baker, LMP, NCTMB
• Ronald Francis Baldwin, MD
• Rebecca K Barnes, LCPC

• General Practice Dentistry in Moscow, ID
• Providers in Moscow, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.