Bayou Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAYOU DENTAL, PA

Practice address

4461 Bayou Blvd
Pensacola, FL 32503-2601

Phone

(850) 476-5233

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James D Callahan Jr., DMDNPI 1992741235

Title

President

Phone

(850) 476-5233

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• James D Callahan Jr., DMD

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1992741235
  NPD (past) Authorized official
• James D Callahan, DDS

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1770529091
  NPD (past)
• Stephen Estes Smith, DMD

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1942619986
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407898158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-476-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-476-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-476-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1808923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Centre, Inc.
• Bay Dental, Inc
• Rachel Lauren Bayer
• Terrence Bayly, M.D.
• Bayou Chiropractic Center P.L.
• Bayou Wellness of Northwest Florida, LLC
• Terry Wayde Bays, CRNA
• Bayside Manor Operating Investments LLC
• Bayview H&R LLC
• Amanda Kage Bazo, BCBA

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.