Individual provider Active NPI

Thomas Bailey, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Franklin, TN
National Provider Identifier
1144649393
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11145 Issued in TN
Practice address
3000 Stansberry LN Ste 101
Franklin, TN 37069-5125
Phone
(615) 591-0919
Fax
(615) 599-6762
NPI assigned
Apr 15, 2014
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11145 TN Primary

Addresses

Primary practice location

3000 Stansberry LN Ste 101
Franklin, TN 37069-5125

Mailing address

3000 Stansberry LN Ste 101
Franklin, TN 37069-5125
Phone (615) 591-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11145TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
East Louisville Oral Surgery and Dental Implants PLC Oral and Maxillofacial Surgery CurrentSince Dec 21, 2021 Accepting new patients
Southern Oral and Facial Surgery Oral and Maxillofacial Surgery PastSince Jan 12, 2020 Accepting new patients
Daniel C. Burchfield, DMD Et Al PTR. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1013 N DuPont Sq
#B
Louisville, KY 40207
Phone (502) 897-5282

300 Middletown Park Pl
Ste A
Louisville, KY 40243
Phone (502) 245-8666

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1144649393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STANSBERRY LN STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370695125",
            "telephone_number": "615-591-0919",
            "fax_number": "502-896-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 STANSBERRY LN STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370695125",
            "telephone_number": "615-591-0919",
            "fax_number": "615-599-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "THOMAS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "D11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.