Bourquein LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13439 Issued in TX

Legal business name

BOURQUEIN LLC

Practice address

1026 S Adams St
Fredericksburg, TX 78624-5002

Phone

(830) 990-0333

Fax

(830) 990-9200

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Robert K Bourquein, DDS

Title

Owner

Phone

(830) 990-0333

Specialties & licenses 1

Addresses

Other names 1

• Robert K Bourquein Sole Mbr Former legal business name

Locations

Practitioners 1

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

• Stephen Connell Clegg, DDS

  • General Practice Dentistry
  • Fredericksburg, TX
  • NPI 1396879037
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1114383791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245002",
            "telephone_number": "830-990-0333",
            "fax_number": "830-990-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 S ADAMS ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245002",
            "telephone_number": "830-990-0333",
            "fax_number": "830-990-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURQUEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BOURQUEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-990-0333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert K Bourquein Sole Mbr",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David L. Blackburn, M.D.
• Shelly Blaker, O.D.
• Brook Elizabeth Bodenhamer, LCSW, LCDC
• Derrick Joseph Borecky, MD
• Bill Edward Borron, RPH
• Robert Kemp Bourquein, DDS MS
• Andrew N Bowser, MD
• BP Eye Care Centers
• Brandon Blaker O D P C
• Andrea C Bray, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.