DRS. Bailey, Peoples, & Oghalai, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4994 Issued in NC

Legal business name

DRS. BAILEY, PEOPLES, & OGHALAI, P.A.

Practice address

1405 Westgate Center Dr
Winston-Salem, NC 27103-2995

Phone

(336) 765-5374

Fax

(336) 760-3066

NPI assigned

Feb 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Henry Bailey, DDSNPI 1861434797

Title

President

Phone

(336) 765-5374

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Henry Bailey, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1861434797
  NPD (past) Authorized official
• Jeffrey B Krutoy, DDS,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1477797850
  NPD (past)
• Mark Alan Oghalai, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1467495069
  NPD (past)
• Carl Edward Peoples III, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1306888235
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568438091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WESTGATE CENTER DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271032995",
            "telephone_number": "336-765-5374",
            "fax_number": "336-760-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WESTGATE CENTER DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271032995",
            "telephone_number": "336-765-5374",
            "fax_number": "336-760-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BAILEY, PEOPLES, & OGHALAI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-5374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799005W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902EY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.