James Robert Bailey, D.D.S.
Individual provider Active NPI General Practice Dentistry · Indianapolis, IN
NPI 1265633101 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265633101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010042 (IN)
- Practice address
- 2291 N Meridian St
Indianapolis, IN 46208-5727 - Phone
- (317) 926-5467
- Fax
- (317) 926-6022
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161215001387 | IN | Order and Referring Only - Dentist |
5193005874 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12010042 | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12010042 | IN | Yes |
Addresses
Primary practice location
2291 N Meridian St
Indianapolis, IN 46208-5727
Mailing address
2291 N Meridian St
Indianapolis, IN 46208-5727
Phone (317) 926-5467
Other providers in Indianapolis, IN
- Elizabeth Bailey
- Emily L Bailey
- Erin Bailey
- Evoni Bailey
- James Robert Bailey
- Jasa Bailey
- Jennifer Michelle Bailey
- Jennifer Rae Bailey
- John W. Bailey Jr.
- John William Bailey Sr.
All providers in Indianapolis, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.