NPIMap

Organization Active NPI

Dr Lisa Bailey DDS, Apdc

  • Dental Laboratory
  • Gonzales, LA
National Provider Identifier
1306015540
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
1881163 Issued in LA
Legal business name
DR LISA BAILEY DDS, APDC
Practice address
225 W Ascension St
Gonzales, LA 70737-2803
Phone
(225) 644-4976
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Lisa C Bailey, DDS
Title
Owner
Phone
(225) 644-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X 1881163 LA Primary

Addresses

Primary practice location

225 W Ascension St
Gonzales, LA 70737-2803

Mailing address

225 W Ascension St
Gonzales, LA 70737-2803
Phone (225) 644-4976

Other identifiers 2

IdentifierTypeStateIssuer
1235316217MedicaidLA
1023163599MedicaidLA

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1306015540",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LISA BAILEY DDS, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-644-4976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "LA",
            "license": "1881163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235316217",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023163599",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.