Michael Bailey Acosta, DDS
Individual provider Active NPI Dentist · Chico, CA
NPI 1457410565 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457410565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 26732 (CA)
- Practice address
- 1074 East Ave Ste J
Chico, CA 95926 - Phone
- (530) 895-3434
- Fax
- (530) 895-3616
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26732 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26732 | CA | Yes |
Addresses
Primary practice location
1074 East Ave Ste J
Chico, CA 95926
Mailing address
1074 East Ave Ste J
Chico, CA 95926
Phone (530) 895-3434
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.