Organization Active NPI

Baileys & Sutherland Dental Corporation

  • Dentist
  • El Cajon, CA
National Provider Identifier
1205043650
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31198 Issued in CA
Legal business name
BAILEYS & SUTHERLAND DENTAL CORPORATION
Practice address
700 N Johnson Ave Ste P
El Cajon, CA 92020-2589
Phone
(619) 444-3127
Fax
(619) 444-3138
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Steven J Baileys, D.D.S.
Title
Owner
Phone
(619) 444-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 31198 CA Primary

Addresses

Primary practice location

700 N Johnson Ave Ste P
El Cajon, CA 92020-2589

Mailing address

700 N. Johnson Ave Suite P
El Cajon, CA 92020
Phone (619) 444-3127

Other names 1

  • East County Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

700 N Johnson Ave
Ste P
El Cajon, CA 92020
Phone (619) 441-1907

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1205043650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N. JOHNSON AVE SUITE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-444-3127",
            "fax_number": "619-444-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE STE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202589",
            "telephone_number": "619-444-3127",
            "fax_number": "619-444-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEYS & SUTHERLAND DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BAILEYS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-444-3127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East County Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.