Bayberry Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023208 Issued in IL

Legal business name

BAYBERRY DENTAL CARE PC

Practice address

8014 171St Street
Tinley Park, IL 60477

Phone

(708) 802-8300

Fax

(708) 802-8305

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen M Falsey, DDSNPI 1720361736

Title

Dentist President a Corporation

Phone

(708) 802-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen M Falsey, D.D.S.

  • General Practice Dentistry
  • Tinley Park, IL
  • NPI 1720361736
  NPD (past) Authorized official
• Katie Huynh

  • General Practice Dentistry
  • Tinley Park, IL
  • NPI 1336067628
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1376693457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 171ST STREET",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-802-8300",
            "fax_number": "708-802-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 171ST STREET",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-802-8300",
            "fax_number": "708-802-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBERRY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "FALSEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST PRESIDENT A CORPORATION",
        "authorized_official_telephone_number": "708-802-8300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bartgen, M.S. CCC-SLP-L
• Amanda Bartos
• Kavitha Bathala, M.D.
• Yvonne Batton, FNP-BC
• Timothy John Bauer, EMT B
• Alexis Becerra
• Joseph C Beck, M.D.
• James Robert Becker, DDS
• Patrick Becker, MPT
• Vicki Lynn Becker, D.D.S

• General Practice Dentistry in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.