Active NPI
Philip Morris Bailey, D.D.S., M.S.D.
- Pediatric Dentistry
- Hurst, TX
National Provider Identifier
1205832250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8178
- Practice address
- 750 Mid Cities Blvd
Hurst, TX 76054-2792 - Phone
- (817) 427-1700
- Fax
- (817) 427-1703
- NPI assigned
- Jun 23, 2005
- Last updated
- May 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8178 | TX | Primary |
Addresses
Primary practice location
750 Mid Cities Blvd
Hurst, TX 76054-2792
Mailing address
750 Mid Cities Blvd
Hurst, TX 76054-2792
Phone (817) 427-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126739504 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8178 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1205832250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 MID CITIES BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760542792",
"telephone_number": "817-427-1700",
"fax_number": "817-427-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MID CITIES BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760542792",
"telephone_number": "817-427-1700",
"fax_number": "817-427-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PHILIP",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "8178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126739504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
- Back in Motion Family Chiropractic (Michael Ganschow)
- Back in Motion Integrated Medicine PLLC (Back in Motion Integrated Medicine)
- Sara Mohammed Bahazaq, RDH
- Heather Coyne Bailey
- Jaime Bailey, M.S. CCC-SLP
- Baker Family Eyecare, P.a.
- Alan W Baker, D.D.S
- Melissa Lynne Baker, MSN, APRN, PMHNP-BC
- Randall Baker
- Emmet Hezekiah Balch III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.