Individual provider Active NPI

Bailey Duffy, DMD

  • Pediatric Dentistry
  • Hoover, AL
National Provider Identifier
1558046995
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11206.PD Issued in SC
Practice address
5564 Grove Blvd Ste B
Hoover, AL 35226-4601
Phone
(205) 795-3440
NPI assigned
Jun 21, 2023
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D.007625-C1 AL
Pediatric Dentistry 1223P0221X 11206.PD SC Primary

Addresses

Primary practice location

5564 Grove Blvd Ste B
Hoover, AL 35226-4601

Mailing address

5564 Grove Blvd Ste B
Hoover, AL 35226-4601
Phone (205) 795-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104003712 SC Order and Referring Only - DentistPractitioner - Dentist 1557712486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.007625-C1ALMDPediatric Dentist
11206.PDSCMDPediatric Dentist
10559SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry for Children of South Carolina PC PastSince Dec 7, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1558046995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 GROVE BLVD STE B",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264601",
            "telephone_number": "205-795-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 GROVE BLVD STE B",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264601",
            "telephone_number": "205-795-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "BAILEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "D.007625-C1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "11206.PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.