Active NPI
Erin Shari Bailey, DDS
- Dentist
- Portsmouth, VA
National Provider Identifier
1366788119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15210
- Practice address
- Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (630) 300-4567
- NPI assigned
- Dec 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15210 | MD | |
| Dentist | 122300000X | 15210 | MD | Primary |
Addresses
Primary practice location
Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
1632 Colchester LN
Aurora, IL 60505-9500
Phone (630) 300-4567
Other practice location 1
Naval Medical Center San Diego
Apo, AA 92134
Phone (619) 794-4599
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erin.s.bailey4.mil@health.mil |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210720000135 | MD | Order and Referring Only - Dentist | 9234532995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15210 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1366788119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 COLCHESTER LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605059500",
"telephone_number": "630-300-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "630-300-4567"
}
],
"practiceLocations": [
{
"address_1": "Naval Medical Center San Diego",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AA",
"postal_code": "92134",
"country_code": "US",
"telephone_number": "619-794-4599",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "ERIN",
"middle_name": "SHARI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "15210",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "15210",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erin.s.bailey4.mil@health.mil",
"affiliation": "N",
"address_1": "Naval Medical Center Portsmouth",
"address_2": "620 John Paul Jones Circle",
"city": "Portsmouth",
"state": "VA",
"country_code": "US",
"postal_code": "23708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.