Bruce R. Courtney Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2033 Issued in NH

Practice address

920 Second Street
Manchester, NH 03102

Phone

(603) 668-7494

Fax

(603) 668-7497

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114955739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLUEBERRY TRL",
            "city": "DUNBARTON",
            "state": "NH",
            "postal_code": "030464802",
            "telephone_number": "603-785-7158",
            "fax_number": "603-668-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SECOND STREET",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-668-7494",
            "fax_number": "603-668-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY JR.",
        "first_name": "BRUCE",
        "middle_name": "R.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000916",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Cottrell
• Jeffrey M Coughlin, RPH
• Shannon Coughlin
• Taylor Dayne Coughlin, DPT
• Tracey Coulon, LICSW
• Kathryn Courtney
• Courville at Manchester LLC
• Katherine Sharon Coutis
• Ronald Bernard Coutu, O.D.
• Alicia-Ann Couture

• General Practice Dentistry in Manchester, NH
• Providers in Manchester, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.