Individual provider Active NPI

Joseph Allen Bayma

  • Dentist
  • Clinton TWP, MI
National Provider Identifier
1346427432
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11525 Issued in MI
Practice address
40500 Hayes Rd
Clinton TWP, MI 48038-2543
Phone
(586) 263-9040
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11525 MI Primary

Addresses

Primary practice location

40500 Hayes Rd
Clinton TWP, MI 48038-2543

Mailing address

40500 Hayes Rd
Clinton TWP, MI 48038-2543
Phone (586) 263-9040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150511000021 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375862527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11525MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1346427432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40500 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480382543",
            "telephone_number": "586-263-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40500 HAYES RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480382543",
            "telephone_number": "586-263-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYMA",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.