Active NPI
Brianna M Bailey, DMD
- Dentist
- Covington, LA
National Provider Identifier
1750819561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22617 | FL | MD | Dentist |
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.