Individual provider Active NPI

Rosanna Bailey, D.D.S.

  • General Practice Dentistry
  • Brandywine, MD
National Provider Identifier
1578628459
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10344 Issued in MD
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118001445 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799907275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10344MDMDGeneral 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.

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

Verify at the official NPI Registry.