Active NPI
Grant S Bailey, D.D.S.,M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Centerville, UT
National Provider Identifier
1285852590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 145372-9921
- Practice address
- 390 East Pages Lane
Centerville, UT 84014-0219 - Phone
- (801) 292-1222
- Fax
- (801) 292-7955
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- 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 | 145372-9921 | UT | Primary |
Addresses
Primary practice location
390 East Pages Lane
Centerville, UT 84014-0219
Mailing address
390 East Pages Lane
Centerville, UT 84014-0219
Phone (801) 292-1222
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 |
|---|---|---|---|
| 145372-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285852590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 EAST PAGES LANE",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840140219",
"telephone_number": "801-292-1222",
"fax_number": "801-292-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 EAST PAGES LANE",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840140219",
"telephone_number": "801-292-1222",
"fax_number": "801-292-7955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "GRANT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "145372-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.