Active NPI
Eric J Bailey, DDS
- Pediatric Dentistry
- Hurricane, WV
National Provider Identifier
1487948741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3951
- Practice address
- 3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701 - Phone
- (304) 201-8500
- NPI assigned
- Jun 4, 2011
- Last updated
- Sep 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3951 | WV | Primary |
Addresses
Primary practice location
3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701
Mailing address
3659 Teays Valley Rd
Suite 100
Hurricane, WV 25526-9701
Phone (304) 533-6697
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3951 | WV | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Martin & Kirk PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Teays Valley Pediatric Dentistry
- Pediatric Dentistry
- Hurricane, WV
- NPI 1881730844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1487948741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3659 TEAYS VALLEY RD",
"address_2": "SUITE 100",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269701",
"telephone_number": "304-533-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3659 TEAYS VALLEY RD",
"address_2": "SUITE 100",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269701",
"telephone_number": "304-201-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ERIC",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-04",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WV",
"license": "3951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
- Debra Arnett
- Aspire to Inspire Behavioral Health and Addiction Services, LLC (Aspire Counseling)
- David Codie Atkinson, PHARMD
- Samantha Eve Aybar, OTR/L
- Sara E. Babcock, PHARMD
- Jeanne Kaye Bailey, DDS
- Marsha Lee Bailey, MD MPH FACOEM
- Shelley Bailey, MD
- Bryanna Lea Baker-Meckley, LICSW
- Rachel Elizabeth Baldrige-Bush, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.