MICHAEL R BAILEY MD DDS PA (NPI# 1053584284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053584284 |
| Entity Type | Organization |
| Organization Name | MICHAEL R BAILEY MD DDS PA |
| Practice Address |
403 S 11th St Suite 300 Boise ID 83702-6968 |
| Practice Telephone | 2083449115 |
| Practice Fax Number | 2083449113 |
| Mailing Telephone | 2083449115 |
| Mailing Fax Number | 2083449113 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | MICHAEL R BAILEY (OWNER) |
| Authorized Official Telephone | 2083449115 |
| Authorized Official Credential | MD DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D3165/M6325 | ID | Dental Providers |
| Street Address |
403 S 11TH ST SUITE 300 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-6968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068760 | Irinel N Stanciu | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2006-01-17 |
| 1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
| 1912130394 | Lori Ann Rishel | Nurse Practitioner | 403 S 11th St, Suite 135, Boise, ID 83702-6969 | 2009-09-01 |
| 1689845026 | Patrick Casey | Chiropractor | 403 S 11th St, Suite 110, Boise, ID 83702-6968 | 2008-03-13 |
| 1518165984 | Idaho Endocrinology, Pllc | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6968 | 2007-07-06 |
| 1659414399 | Richard B. Christensen, M.d. | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6968 | 2007-02-14 |
| 1255489746 | Gihan E. Dawood | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6969 | 2007-01-08 |
| 1184772865 | Klena Chiropractic Clinic | Chiropractor | 403 S 11th St, Suite 110, Boise, ID 83702-6968 | 2007-01-08 |
| 1841385523 | Brett Troyer | Internal Medicine | 403 S 11th St, Suite 210, Boise, ID 83702-6969 | 2006-10-04 |
| 1720173628 | Idaho Sleep Specialists, PC | Internal Medicine | 403 S 11th St, Suite 210, Boise, ID 83702-6969 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124433743 | Arman Haghighi | Dentist | 403 S 11th St Ste 300, Boise, ID 83702-6968 | 2014-06-23 |
| 1013274661 | Treasure Valley Oral and Facial Surgery Pllc | Dentist | 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 | 2012-04-20 |
| 1790892610 | Bruce Morrison | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2006-08-24 |
| 1457378382 | Dean C. Younce, Dmd, Pa | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2006-07-16 |
| 1891727582 | Michael R Bailey | Dentist | 403 South 11th Street, Suite 300, Boise, ID 83702-6906 | 2006-07-06 |
| 1982650404 | Victor D Cook | Dentist | 7910 Ustick Rd, Boise, ID 83704-5850 | 2006-05-26 |
| 1104248053 | Whitewater Oral Surgery Group Pllc | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2014-01-13 |
| 1043657364 | Jake Allen Peterson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2013-05-28 |
| 1699949750 | Boise Oral and Maxillofacial Surgery | Dentist | 6363 W Emerald St, Suite 103, Boise, ID 83704-8783 | 2008-04-18 |
| 1811169733 | Dean Younce | Dentist | 5266 N Eagle Rd, Boise, ID 83713-0945 | 2008-04-01 |
| Find all providers in BOISE | ||||
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| 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.