Individual provider Active NPI

Steven Jeffery Baileys, DDS

  • Dentist
  • El Cajon, CA
National Provider Identifier
1366610651
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31198 Issued in CA
Practice address
700 N Johnson Ave
Suite P
El Cajon, CA 92020-2592
Phone
(619) 444-3127
Fax
(619) 444-3138
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 31198 CA Primary

Addresses

Primary practice location

700 N Johnson Ave
Suite P
El Cajon, CA 92020-2592

Mailing address

700 N Johnson Ave
Suite P
El Cajon, CA 92020-2592
Phone (619) 444-3127

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1366610651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE",
            "address_2": "SUITE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202592",
            "telephone_number": "619-444-3127",
            "fax_number": "619-444-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N JOHNSON AVE",
            "address_2": "SUITE P",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202592",
            "telephone_number": "619-444-3127",
            "fax_number": "619-444-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEYS",
        "first_name": "STEVEN",
        "middle_name": "JEFFERY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.