Active NPI
Whitney Bailey Gwaltney, DDS
- Dentist
- Suffolk, VA
National Provider Identifier
1841605722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414957
- Practice address
- 2486 Pruden Blvd.
Suffolk, VA 23434 - Phone
- (757) 539-3021
- Fax
- (757) 539-6262
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 150980 | NC | |
| Dentist | 122300000X | 0401414957 | VA | Primary |
Addresses
Primary practice location
2486 Pruden Blvd.
Suffolk, VA 23434
Mailing address
2486 Pruden Blvd.
Suffolk, VA 23434
Phone (757) 539-3021
Other names 1
- Dr. Whitney Ann Bailey
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150980 | NC | MD | Dentist |
| 0401414957 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steve a Gwaltney, DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1841605722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2486 PRUDEN BLVD.",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-3021",
"fax_number": "757-539-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2486 PRUDEN BLVD.",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-539-3021",
"fax_number": "757-539-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWALTNEY",
"first_name": "WHITNEY",
"middle_name": "BAILEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "150980",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "BAILEY",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.