Dr. Lisa Bailey

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

4685 Issued in LA

Legal business name

DR. LISA BAILEY

Doing business as

Dr. Lisa Bailey DDS

Practice address

225 W Ascension St
Gonzales, LA 70737-2803

Phone

(225) 644-4976

Fax

(225) 647-4442

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Churchman Bailey, DDS

Title

Owner

Phone

(225) 644-4976

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lisa Bailey DDS Doing business as

Tax ID family

Dr Lisa Bailey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Lisa Bailey DDS, Apdc

  • Dental Laboratory
  • Gonzales, LA
  • NPI 1306015540
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Churchman Bailey, DDS

  • General Practice Dentistry
  • Gonzales, LA
  • NPI 1023163599
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1235316217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W ASCENSION ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372803",
            "telephone_number": "225-644-4976",
            "fax_number": "225-647-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W ASCENSION ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372803",
            "telephone_number": "225-644-4976",
            "fax_number": "225-647-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LISA BAILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CHURCHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-644-4976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "4685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1023163599",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lisa Bailey DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Jerry V Williams a Professional Medical Corporation
• Dr Johnnie Lynn Hunt LLC
• Dr Lisa Bailey DDS, Apdc
• Dr Phillip and Vera Smith LLC
• Dr R B Vanbreemen LTD Apc
• Jennifer Dreher
• Megan Danielle Drew
• Heather Denise Drewes, FNP-BC
• Jessica Dronen
• Claire Allain Drummond, PA-C

• Point of Service in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Point of Service in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.