Individual provider Active NPI

Brianna M Bailey, DMD

  • Dentist
  • Covington, LA
National Provider Identifier
1750819561
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22617 Issued in FL
Practice address
69400 6TH Ave
Covington, LA 70433-5511
Phone
(423) 278-0064
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN22617 FL Primary

Addresses

Primary practice location

69400 6TH Ave
Covington, LA 70433-5511

Mailing address

69400 6TH Ave
Covington, LA 70433-5511
Phone (423) 278-0064

Other practice location 1

670 Boulevard De France
Building 674
MCRD Parris Island, SC 29905
Phone (843) 278-3500

Other practice location 2

Naval Medical Center San Diego 34800 Dr
San Diego, CA 92134-0001
Phone (619) 532-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22617FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1750819561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69400 6TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335511",
            "telephone_number": "423-278-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69400 6TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335511",
            "telephone_number": "423-278-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Boulevard De France",
            "address_2": "Building 674",
            "address_purpose": "LOCATION",
            "city": "MCRD Parris Island",
            "state": "SC",
            "postal_code": "29905",
            "country_code": "US",
            "telephone_number": "843-278-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Medical Center San Diego 34800 Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921340001",
            "country_code": "US",
            "telephone_number": "619-532-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRIANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.