Philip Francis Bald, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8308 Issued in NC

Practice address

609 W Kitty Hawk Rd
Kitty Hawk, NC 27949-4231

Phone

(252) 261-2422

NPI assigned

Nov 1, 2006

Last updated

May 11, 2010By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1801973524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 ANTELOPE TRL",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093191",
            "telephone_number": "252-489-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W KITTY HAWK RD",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279494231",
            "telephone_number": "252-261-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALD",
        "first_name": "PHILIP",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913394",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Albemarle Physician Services Inc. (Sentara Family Medicine Physicians)
• Katelyn Nicole Angelo, FNP
• Lauren Endee Baer, FNP-C
• Beach Haven Home Care LLC
• Beach Medical Care, LTD.
• Beach Medical PLLC
• Bear Drugs Inc (Bear Drugs of Kitty Hawk)
• Bear Drugs Inc.

• General Practice Dentistry in Kitty Hawk, NC
• Providers in Kitty Hawk, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.