Active NPI
Aaron Michael Bailey, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tyler, TX
National Provider Identifier
1215116108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 34499
- Practice address
- 1058 Asher Way Ste 200
Tyler, TX 75703-6076 - Phone
- (903) 509-4422
- NPI assigned
- Oct 29, 2007
- Last updated
- Oct 5, 2023
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 34499 | TX | Primary |
Addresses
Primary practice location
1058 Asher Way Ste 200
Tyler, TX 75703-6076
Mailing address
1058 Asher Way Ste 200
Tyler, TX 75703-6076
Phone (903) 509-4422
Other practice location 1
3052 N Eastman Rd Ste 108
Longview, TX 75605-5013
Phone (406) 452-1220
Other practice location 2
309 Magnolia Ln
Longview, TX 75605-5625
Phone (903) 663-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0128778 | Medicaid | MT |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34499 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1215116108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 ASHER WAY STE 200",
"city": "TYLER",
"state": "TX",
"postal_code": "757036076",
"telephone_number": "903-509-4422",
"fax_number": "903-509-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 ASHER WAY STE 200",
"city": "TYLER",
"state": "TX",
"postal_code": "757036076",
"telephone_number": "903-509-4422"
}
],
"practiceLocations": [
{
"address_1": "3052 N Eastman Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756055013",
"country_code": "US",
"telephone_number": "406-452-1220",
"fax_number": "903-686-1905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Magnolia Ln",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756055625",
"country_code": "US",
"telephone_number": "903-663-1177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "AARON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-29",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "34499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128778",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.