NPIMap

Organization Active NPI

Robert a Bailey DDS PA

Doing business as Access Family Dental Care

  • Dentist
  • Durham, NC
National Provider Identifier
1700164084
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7755 Issued in NC
Legal business name
ROBERT A BAILEY DDS PA
Doing business as
Access Family Dental Care
Practice address
1006 Lamond Ave Ste C
Durham, NC 27701-2074
Phone
(919) 794-7210
Fax
(919) 794-7211
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Robert A Bailey, DDSNPI 1760543599
Title
President
Phone
(919) 624-3611

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7755 NC Primary

Addresses

Primary practice location

1006 Lamond Ave Ste C
Durham, NC 27701-2074

Mailing address

108 Polyanthus PL
Holly Springs, NC 27540-7582
Phone (919) 762-9194

Other identifiers 2

IdentifierTypeStateIssuer
5903523MedicaidNC
1760543599OtherNCNPI

Other names 1

  • ACCESS FAMILY DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1006 Lamond Ave
Ste C
Durham, NC 27701
Phone (919) 794-7210

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1700164084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 POLYANTHUS PL",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407582",
            "telephone_number": "919-762-9194",
            "fax_number": "919-794-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 LAMOND AVE STE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012074",
            "telephone_number": "919-794-7210",
            "fax_number": "919-794-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BAILEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-624-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903523",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760543599",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS FAMILY DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.