FRED E BAILEY (NPI# 1003989948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003989948 |
| Entity Type | Individual |
| Full Name | FRED E BAILEY |
| Practice Address |
5420 Ne Antioch Road Kansas City MO 64119 |
| Practice Telephone | 8164529700 |
| Practice Fax Number | 8164529779 |
| Mailing Telephone | 8164529700 |
| Mailing Fax Number | 8164529779 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013597 | MO | Dental Providers |
| Street Address |
5420 NE ANTIOCH ROAD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880674 | Antioch Dental Group | Dentist | 5420 Ne Antioch Road, Kansas City, MO 64119 | 2006-08-20 |
| 1336207448 | Antioch Dental Group | Dentist | 5420 Ne Antioch Road, Kansas City, MO 64119 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978227 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 5363 Ne Antioch Rd, Kansas City, MO 64119 | 2019-12-09 |
| 1528525219 | Lifestreams, LLC | Home Health | 5229 Ne 56th Place, Kansas City, MO 64119 | 2019-02-28 |
| 1740639798 | Daniel Sucher | Dentist | 5416 Ne Antioch Rd, Kansas City, MO 64119 | 2016-06-10 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1376929976 | Abigail Blair | Physical Therapist | 8121 Ne 69 Highway, Kansas City, MO 64119 | 2015-08-05 |
| 1508273939 | Morgan Shockey | Dentist | 244 E Us Hwy 69, Ste 101, Claycomo, MO 64119 | 2014-07-17 |
| 1184865990 | Laura F Hanna | Psychologist | 3100 Ne 83rd Street, Suite#1001, Kansas City, MO 64119 | 2009-03-09 |
| 1114110483 | Heintz-sight 20/20, Inc | Optometrist | 7201 North M-1 Hwy, Gladstone, MO 64119 | 2007-08-21 |
| 1356533194 | Levelup Kids, Inc. | Optometrist | 5416 Ne Antioch Road, Kansas City, MO 64119 | 2007-08-15 |
| 1275738932 | Renee Christine Springer | Physical Therapist | 2901 Ne 72nd St, Gladstone, MO 64119 | 2007-06-20 |
| Find all providers in zip 64119 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262283 | Austin Rickabaugh | Dentist | 8911 State Ave, Kansas City, KS 66112-1645 | 2020-07-17 |
| 1396378998 | Nathan B Klein Dds LLC | Dentist | 7611 State Line Rd Ste 310, Kansas City, MO 64114-1698 | 2020-02-21 |
| 1497213565 | Village West Dentistry, Pa | Dentist | 1703 Village West Pkwy Ste 108, Kansas City, KS 66111-1859 | 2019-03-07 |
| 1851897821 | Shivam Parbhu | Dentist | 3719 Madison Ave, Kansas City, MO 64111-3813 | 2018-03-30 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1356870430 | Scuyler Myron Robert Kurlbaum | Dentist | 325 E 135th St, Kansas City, MO 64145-1462 | 2017-06-12 |
| 1366976862 | Margaret Boehm | Dentist | 400 E Red Bridge Rd Ste 321, Kansas City, MO 64131-4031 | 2017-04-12 |
| 1831638998 | Phoenix Hmr Holdings | Dentist | 5420 Ne Antioch Rd, Kansas City, MO 64119-2507 | 2017-02-21 |
| 1972040699 | Rm Dental Group East | Dentist | 4516 Broadway, Unit 301, Kansas City, MO 64111-3381 | 2017-01-20 |
| 1235682444 | Kristen R Erskin | Dentist | 8530 N Green Hills Rd, Kansas City, MO 64154-1403 | 2016-07-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64119 |
Please comment or provide details below to improve the information on FRED E BAILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.