Individual provider Active NPI

Philip J. Bales, D.M.D.

  • General Practice Dentistry
  • Astoria, OR
National Provider Identifier
1164420188
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6058 Issued in OR
Practice address
855 Exchange St
Astoria, OR 97103-4627
Phone
(503) 325-3230
Fax
(503) 325-3230
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6058ORMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6058 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

855 Exchange St
Astoria, OR 97103-4627

Mailing address

855 Exchange St
Astoria, OR 97103-4627
Phone (503) 325-3230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164420188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034627",
            "telephone_number": "503-325-3230",
            "fax_number": "503-325-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034627",
            "telephone_number": "503-325-3230",
            "fax_number": "503-325-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "PHILIP",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.