Organization Active NPI

Thomas J Bagley D.D.S., P.a.

Doing business as Bagley Family Dentistry

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1609347731
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS J BAGLEY D.D.S., P.A.
Doing business as
Bagley Family Dentistry
Practice address
2729 Horse Pen Creek Rd Ste 103
Greensboro, NC 27410-8396
Phone
(336) 854-5850
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Dr. Thomas Bagley, DDSNPI 1477783728
Title
President
Phone
(336) 854-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2729 Horse Pen Creek Rd Ste 103
Greensboro, NC 27410-8396

Mailing address

2729 Horse Pen Creek Rd Ste 103
Greensboro, NC 27410-8396
Phone (336) 854-5850

Other names 1

  • Bagley Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2729 Horse Pen Creek Rd
Ste 103
Greensboro, NC 27410
Phone (336) 854-5850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1609347731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 HORSE PEN CREEK RD STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108396",
            "telephone_number": "336-854-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 HORSE PEN CREEK RD STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108396",
            "telephone_number": "336-854-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J BAGLEY D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-854-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bagley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.