Active NPI
Jean Evelyn Bainbridge, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1609803584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14603
- Practice address
- 3914 S Buckner Blvd
Dallas, TX 75227-4313 - Phone
- (214) 388-4453
- Fax
- (214) 388-9555
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 8, 2007
- 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 | 14603 | TX | Primary |
Addresses
Primary practice location
3914 S Buckner Blvd
Dallas, TX 75227-4313
Mailing address
3914 S Buckner Blvd
Dallas, TX 75227-4313
Phone (214) 388-4453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14603 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Whole Tooth Texas PLLC | General Practice | Past | 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": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609803584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 S BUCKNER BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752274313",
"telephone_number": "214-388-4453",
"fax_number": "214-388-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 S BUCKNER BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752274313",
"telephone_number": "214-388-4453",
"fax_number": "214-388-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAINBRIDGE",
"first_name": "JEAN",
"middle_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.