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Export Provider Record NPI 1063415354
John Dee BaileyD.O.
Active
NPI Number1063415354
NPI TypeNPI-1 Individual
SpecialtyOrthopaedic Surgery, Orthopaedic Surgery of the Spine
Provider Details
NPI1063415354
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-05-31
Last Updated2008-06-16
Mailing Address21469 Lake Wood Trl
Kirksville, MO 63501-7675
United States
Phone: (660) 627-0989 | Fax: (660) 627-0990
📍 View Map
Primary Practice Address1701 N Elson St
Kirksville, MO 63501-1141
United States
Phone: (660) 665-0950 | Fax: (660) 665-0699
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MO1831369107GROUP NPI
MEDICAIDMO244728507-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207XS0117X – Orthopaedic Surgery, Orthopaedic Surgery of the SpineMOMO110360
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About NPI 1063415354

John Dee Bailey D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063415354. The primary specialty listed is Orthopaedic Surgery, Orthopaedic Surgery of the Spine. The provider is located in Kirksville, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063415354?

NPI 1063415354 belongs to John Dee Bailey D.O., a Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Kirksville, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063415354 active?

The current status of NPI 1063415354 in the NPPES registry is Active. The record was last updated on 2008-06-16.

What specialty is NPI 1063415354?

NPI 1063415354 is classified under the taxonomy Orthopaedic Surgery, Orthopaedic Surgery of the Spine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063415354?

You can verify NPI 1063415354 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063415354?

The primary practice address on file for NPI 1063415354 is 1701 N Elson St, Kirksville, MO 63501-1141. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063415354 issued?

NPI 1063415354 was first issued (enumerated) on 2005-05-31. The NPPES record was last updated on 2008-06-16.

Practice Location Map

John Dee Bailey is located at 1701 N Elson St, Kirksville, MO. Use the map below to find directions or verify the practice location.

📍 1701 N Elson St, Kirksville, MO 63501-1141  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Dee Bailey. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063415354. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Orthopaedic Surgery, Orthopaedic Surgery of the SpineMO110360MO
Data Verified from CMS NPPES Last synced: 2026-07-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162