Zachary Bailey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11468 Issued in MN

Practice address

515 6TH St NE
Staples, MN 56479

Phone

(218) 894-1941

Fax

(218) 894-5729

NPI assigned

May 4, 2006

Last updated

Apr 23, 2015By the provider in NPPES

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 MN

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

Practice roles

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

• Zachary J Bailey DDS Inc

  • Dentist
  • Staples, MN
  • NPI 1174812689
  NPD (past) Authorized official
• Staples Smiles

  • Dentist
  • Staples, MN
  • NPI 1063172468
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1801844691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 6TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "56479",
            "telephone_number": "218-894-1941",
            "fax_number": "218-894-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 6TH ST NE",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "56479",
            "telephone_number": "218-894-1941",
            "fax_number": "218-894-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneway
• Levis Eyo Apana, NP
• Carissa Arens, APRN, CNP
• Jennifer C Asche, PA-C
• Alison J Ator, SLP
• Jeffery Warren Barron, DC
• Marissa Elizabeth Baumgartner, PA-C
• Arden Milton Beachy, M.D.
• Rebecca Lynn Bennett, PA-C
• Blaise Auguste Bindoula

• General Practice Dentistry in Staples, MN
• Providers in Staples, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.