Organization Active NPI

Jeffrey C. Bailey, DDS, Ms, P.C.

  • Endodontics
  • Virginia Beach, VA
National Provider Identifier
1821148511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0401007646 Issued in VA
Legal business name
JEFFREY C. BAILEY, DDS, MS, P.C.
Practice address
1432 N Great Neck Rd Ste 102
Virginia Beach, VA 23454-1342
Phone
(757) 486-7857
Fax
(757) 486-4441
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey Bailey, DDS
Title
Owner, President
Phone
(757) 486-7857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 0401007646 VA Primary

Addresses

Primary practice location

1432 N Great Neck Rd Ste 102
Virginia Beach, VA 23454-1342

Mailing address

1432 N Great Neck Rd Ste 102
Virginia Beach, VA 23454-1342
Phone (757) 486-7857

National Provider Directory

National Provider Directory

Locations

1432 N Great Neck Rd
Ste 102
Virginia Beach, VA 23454
Phone (757) 486-7857

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821148511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 N GREAT NECK RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541342",
            "telephone_number": "757-486-7857",
            "fax_number": "757-486-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 N GREAT NECK RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541342",
            "telephone_number": "757-486-7857",
            "fax_number": "757-486-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. BAILEY, DDS, MS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "757-486-7857",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401007646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.