Active NPI
Emil Bailey, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 055755
- Practice address
- 555 E Fordham Rd
Bronx, NY 10458-5046 - Phone
- (347) 801-8888
- Fax
- (347) 801-8888
- NPI assigned
- Apr 5, 2012
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 055755 | NY | Primary |
Addresses
Primary practice location
555 E Fordham Rd
Bronx, NY 10458-5046
Mailing address
555 E Fordham Rd
Bronx, NY 10458-5046
Phone (347) 801-8888
Other practice location 1
188 Dyckman St
New York, NY 10040-1004
Phone (347) 801-8888
Other practice location 2
468 E Fordham Rd
Bronx, NY 10458-5108
Phone (347) 801-8888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055755 | Other | NY | NY STATE DENTAL LICENSE |
| 1902157910 | Other | NY | GROUP NPI |
| 455093797 | Other | NY | TID |
| 03437749 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Smile Braces, P.C. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Perfect Smile Braces, P.C. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
468 E Fordham Rd
Bronx, NY 10458
Phone (347) 801-8888
555 E Fordham Rd
Bronx, NY 10458
Phone (347) 801-8888
188 Dyckman St
New York, NY 10040
Phone (347) 801-8888
192 Dyckman St
New York, NY 10040
Phone (347) 801-8888
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bronx, NY
- NPI 1841689205
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bronx, NY
- NPI 1902157910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1790041523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585046",
"telephone_number": "347-801-8888",
"fax_number": "347-801-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E FORDHAM RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104585046",
"telephone_number": "347-801-8888",
"fax_number": "347-801-8888"
}
],
"practiceLocations": [
{
"address_1": "188 Dyckman St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100401004",
"country_code": "US",
"telephone_number": "347-801-8888",
"fax_number": "347-801-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "468 E Fordham Rd",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104585108",
"country_code": "US",
"telephone_number": "347-801-8888",
"fax_number": "347-801-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "EMIL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "055755",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE DENTAL LICENSE",
"identifier": "055755",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1902157910",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TID",
"identifier": "455093797",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03437749",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.