Individual provider Active NPI

Jocelyne F Bourji-Touma, D.M.D.

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1083880421
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21350 Issued in MA
Practice address
126A Pleasant Valley St Ste 4
Methuen, MA 01844-7217
Phone
(978) 688-9200
Fax
(978) 688-4949
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21350 MA Primary

Addresses

Primary practice location

126A Pleasant Valley St Ste 4
Methuen, MA 01844-7217

Mailing address

2550 Centre St
West Roxbury, MA 02132-6115
Phone (508) 873-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 10, 2016 through May 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21350MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Haven Davis, D.M.D., LLC Past Accepting new patients
Pleasant Dental Center, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1083880421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326115",
            "telephone_number": "508-873-0323",
            "fax_number": "978-688-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126A PLEASANT VALLEY ST STE 4",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018447217",
            "telephone_number": "978-688-9200",
            "fax_number": "978-688-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURJI-TOUMA",
        "first_name": "JOCELYNE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.