Active NPI
Rosanna Bailey, D.D.S.
- General Practice Dentistry
- Brandywine, MD
National Provider Identifier
1578628459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10344
- Practice address
- 15908 Crain Hwy Unit D
Brandywine, MD 20613-8032 - Phone
- (301) 782-9061
- Fax
- (301) 782-9063
- NPI assigned
- Dec 22, 2006
- Last updated
- Apr 2, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10344 | MD | Primary |
Addresses
Primary practice location
15908 Crain Hwy Unit D
Brandywine, MD 20613-8032
Mailing address
15908 Crain Hwy Unit D
Brandywine, MD 20613-8032
Phone (301) 782-9061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141118001445 | MD | Order and Referring Only - Oral Surgery | 5799907275 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10344 | MD | MD | General Practice Dentistry |
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.
-
- Dentist
- Brandywine, MD
- NPI 1033591904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1578628459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15908 CRAIN HWY UNIT D",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138032",
"telephone_number": "301-782-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15908 CRAIN HWY UNIT D",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138032",
"telephone_number": "301-782-9061",
"fax_number": "301-782-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ROSANNA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "10344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.