Individual provider Active NPI

Bailey Hollihan, DDS

  • Dental Anesthesiology
  • Charlotte, NC
National Provider Identifier
1154915494
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
13609 Issued in NC
Practice address
1213 W Morehead St
Ste 500 Unit 412
Charlotte, NC 28208-5581
Phone
(704) 837-7787
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DS045029 PA
Dental Anesthesiology 1223D0004X 13609 NC Primary
Dental Anesthesiology 1223D0004X 10600 SC

Addresses

Primary practice location

1213 W Morehead St
Ste 500 Unit 412
Charlotte, NC 28208-5581

Mailing address

1213 W Morehead St
Ste 500 Unit 412
Charlotte, NC 28208-5581

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
DS045029PAMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1154915494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD ST",
            "address_2": "STE 500 UNIT 412",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD ST",
            "address_2": "STE 500 UNIT 412",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085581",
            "telephone_number": "704-837-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIHAN",
        "first_name": "BAILEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS045029",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NC",
            "license": "13609",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "SC",
            "license": "10600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.