Individual provider Active NPI

Francis Arthur Bald, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Nags Head, NC
National Provider Identifier
1336207091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4745 Issued in NC
Practice address
2224 S Croatan Hwy
Suite 7
Nags Head, NC 27959-8813
Phone
(252) 441-4300
Fax
(252) 441-6684
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4745 NC Primary

Addresses

Primary practice location

2224 S Croatan Hwy
Suite 7
Nags Head, NC 27959-8813

Mailing address

2224 S Croatan Hwy
Suite 7
Nags Head, NC 27959-8813
Phone (252) 441-4300

Other identifiers 1

IdentifierTypeStateIssuer
890219WMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 22, 2016 through Jun 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336207091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY",
            "address_2": "SUITE 7",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-441-4300",
            "fax_number": "252-441-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 S CROATAN HWY",
            "address_2": "SUITE 7",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598813",
            "telephone_number": "252-441-4300",
            "fax_number": "252-441-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALD",
        "first_name": "FRANCIS",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890219W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.