Bayou Dental Health

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BAYOU DENTAL HEALTH

Practice address

6005 Airline Dr
Metairie, LA 70003-4330

Phone

(888) 242-1608

NPI assigned

Mar 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mahrufa Islam, DDS

Title

Dental Director

Phone

(888) 242-1608

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Smiles 2 Geaux Doing business as

Locations

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1265706295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23623",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701830623",
            "telephone_number": "888-242-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034330",
            "telephone_number": "888-242-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "MAHRUFA",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "888-242-1608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2880349",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles 2 Geaux",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carter Baughman, MD
• Mary Baumer, SLP
• Catherine Bauske, LMSW
• Sarah McBride Bautista
• Caitlin Bawroski
• Bayou Home Care New Orleans
• Bayou Orthotic and Prosthetic Center LLC
• Bayou Pulmonary LLC
• Karlene Allison Bazile, ABA BEHAVIOR TECH
• Bca Medical Wigs

• Community Health Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Community Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.