Individual provider Active NPI

Ruth E Bailey, DDS

  • Dentist
  • Knoxville, TN
National Provider Identifier
1639282619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS003814 Issued in TN
Practice address
6001 Walden Dr
Suite 1
Knoxville, TN 37919-6338
Phone
(865) 588-1294
Fax
(865) 588-6678
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS003814 TN Primary

Addresses

Primary practice location

6001 Walden Dr
Suite 1
Knoxville, TN 37919-6338

Mailing address

6001 Walden Dr
Suite 1
Knoxville, TN 37919-6338
Phone (865) 588-1294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS003814TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic Dentistry of Knoxville PastSince Jan 22, 2023 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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639282619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WALDEN DR",
            "address_2": "SUITE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196338",
            "telephone_number": "865-588-1294",
            "fax_number": "865-588-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WALDEN DR",
            "address_2": "SUITE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196338",
            "telephone_number": "865-588-1294",
            "fax_number": "865-588-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "RUTH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS003814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.