Active NPI
Patrick O Bailey, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1770888786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050716
- Practice address
- 172 Amsterdam Avenue
New York, NY 10031 - Phone
- (734) 678-4022
- NPI assigned
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 050716 | NY | Primary |
Addresses
Primary practice location
172 Amsterdam Avenue
New York, NY 10031
Mailing address
900 Victory Blvd
Staten Island, NY 10301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050716 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1770888786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 AMSTERDAM AVENUE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10031",
"telephone_number": "734-678-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "PATRICK",
"middle_name": "O",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-21",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.