NPIMap

Organization Active NPI

Rodney L Bailey, DMD, PC

  • Dentist
  • Glen Carbon, IL
National Provider Identifier
1801042718
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RODNEY L BAILEY, DMD, PC
Practice address
2246 S State Route 157
Suite 125
Glen Carbon, IL 62034-1717
Phone
(618) 288-6262
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Rodney Bailey
Title
President
Phone
(618) 288-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

2246 S State Route 157
Suite 125
Glen Carbon, IL 62034-1717

Mailing address

2246 S State Route 157
Suite 125
Glen Carbon, IL 62034-1717
Phone (618) 288-6262

National Provider Directory

National Provider Directory
Tax ID family
Rodney L Bailey DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2246 S State Route 157
Ste 125
Glen Carbon, IL 62034
Phone (618) 288-6262

Practitioners & affiliated clinicians

Practitioners 2

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1801042718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 S STATE ROUTE 157",
            "address_2": "SUITE 125",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341717",
            "telephone_number": "618-288-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 S STATE ROUTE 157",
            "address_2": "SUITE 125",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341717",
            "telephone_number": "618-288-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY L BAILEY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-6262",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.