Ben Adam Charles Bailey, D.M.D

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DEN.00203311 Issued in CO

Practice address

3691 Parker Blvd Ste 200
Pueblo, CO 81008-2278

Phone

(719) 212-0777

NPI assigned

Mar 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Springs Oral and Facial Surgery Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1689230104
  NPD (past)

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689916611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 PARKER BLVD STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082278",
            "telephone_number": "719-212-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 PARKER BLVD STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082278",
            "telephone_number": "719-212-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N Academy Blvd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175332",
            "country_code": "US",
            "telephone_number": "719-597-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13540 Meadowgrass Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213012",
            "country_code": "US",
            "telephone_number": "719-597-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BEN ADAM",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00203311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Yolanda Pena Bacilio
• Back in Action, LLC
• David Russell Baer, DDS
• Saurabh Baghi, M.D.
• Samira Bahrainy, MD
• Beverly A. Bailey
• Chelsea Bailey
• Cydney Bailey
• Joelle Josephina Bailey, PMHNP
• Ruth Bailey, RN

• All providers in Pueblo, CO
• Oral & Maxillofacial Surgery (D.M.D.) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.