Individual provider Active NPI

Baileigh Nycole McKenzie, DMD

  • Dentist
  • Fort Gay, WV
National Provider Identifier
1295528263
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4772 Issued in WV
Practice address
71 Wayne St
Fort Gay, WV 25514-8518
Phone
(304) 648-5544
NPI assigned
May 23, 2025
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4772 WV Primary

Addresses

Primary practice location

71 Wayne St
Fort Gay, WV 25514-8518

Mailing address

71 Wayne St
Fort Gay, WV 25514-8518
Phone (304) 648-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728003401 WV Practitioner - Dentist 4284141995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4772WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Dentist CurrentSince Aug 1, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

Interoperability endpoints

  • Direct secure messaging: bmckenzie29655@valleyhealthsystems.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1295528263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WAYNE ST",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255148518",
            "telephone_number": "304-648-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WAYNE ST",
            "city": "FORT GAY",
            "state": "WV",
            "postal_code": "255148518",
            "telephone_number": "304-648-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "BAILEIGH",
        "middle_name": "NYCOLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gay, WV

Sources for this page

Verify at the official NPI Registry.