Organization Active NPI

Mark Bourcier DMD PLLC

  • General Practice Dentistry
  • Feeding Hills, MA
National Provider Identifier
1114490950
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK BOURCIER DMD PLLC
Practice address
33 Southwick St
Feeding Hills, MA 01030-2023
Phone
(413) 786-7555
Fax
(413) 786-7556
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Dr. Mark Bourcier, DMD
Title
Owner/Dentist
Phone
(413) 657-7237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

33 Southwick St
Feeding Hills, MA 01030-2023

Mailing address

134 Colonial Dr
Ludlow, MA 01056-1172
Phone (413) 657-7237

National Provider Directory

National Provider Directory

Locations

33 Southwick St
Feeding Hills, MA 01030
Phone (413) 786-7555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1114490950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COLONIAL DR",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561172",
            "telephone_number": "413-657-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOUTHWICK ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302023",
            "telephone_number": "413-786-7555",
            "fax_number": "413-786-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BOURCIER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "BOURCIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "413-657-7237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feeding Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.