Randall Scott Bailey Sr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9971 Issued in FL

Practice address

85 Nightingale LN
Gulf Breeze, FL 32561-4337

Phone

(850) 934-3408

Fax

(850) 934-3832

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316011000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614337",
            "telephone_number": "850-934-3408",
            "fax_number": "850-934-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614337",
            "telephone_number": "850-934-3408",
            "fax_number": "850-934-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa T Atchley, APRN, FNP-C
• Aurora Home Care LLC
• Patricia Dianne Babcock, LCSW
• Nichole Badraun, RBT
• Elaine M Bailey, PHD
• Lola Baker, LMT
• Balance Behavioral Health, LLC
• Randy Gene Banks, PA-C
• Banyan Gulf Breeze LLC
• Banyan Gulf Breeze LLC

• General Practice Dentistry in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• General Practice Dentistry in Florida

• 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.

Verify at the official NPI Registry.