Individual provider Active NPI

Michael W. Bailey, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1174735310
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN14973 Issued in FL
Practice address
4410 W 16TH Ave Ste 52
Hialeah, FL 33012-7193
Phone
(305) 825-9899
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN14973 FL Primary

Addresses

Primary practice location

4410 W 16TH Ave Ste 52
Hialeah, FL 33012-7193

Mailing address

2709 SW 119TH Way
Miramar, FL 33025-5697
Phone (772) 480-1416

Other practice location 1

2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417

Other practice location 2

4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone (954) 510-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926001517 GA Order and Referring Only - DentistPractitioner - Dentist 1658725601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN14973FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfortable Care Dental Health Professionals, P.a. General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1174735310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 SW 119TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255697",
            "telephone_number": "772-480-1416",
            "fax_number": "772-567-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE STE 52",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127193",
            "telephone_number": "305-825-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352827",
            "country_code": "US",
            "telephone_number": "305-456-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4919 Sheridan St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330212823",
            "country_code": "US",
            "telephone_number": "954-510-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.