Michael Courtney

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

DS039158 Issued in PA

Practice address

33 Bartlett St Ste 405
Lowell, MA 01852-1318

Phone

(978) 458-1264

NPI assigned

Jul 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 3, 2024 through Dec 3, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcourtney240458@direct.bmc.masshiway.net

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.

• Boston Medical Center Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1346218294
  NPD
• Maxillofacial & Implant Surgery of Western Mass PC

  • Oral and Maxillofacial Surgery (Dentist)
  • East Longmeadow, MA
  • NPI 1134716640

  Single Specialty

  NPD
• Atlantic Pines Oral Surgery and Anesthesia

  • Oral and Maxillofacial Surgery Clinic/Center
  • Wells, ME
  • NPI 1730702762
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144576240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 WALNUT ST APT 502",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075441",
            "telephone_number": "617-755-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST STE 405",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521318",
            "telephone_number": "978-458-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Walnut St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075211",
            "country_code": "US",
            "telephone_number": "617-755-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039158",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "PA",
            "license": "DS039158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efrin Cotto
• Teresa Cotto
• Tracy Cotton, RN
• Robin Y Coughlan
• Bonnie Robinson Courtemanche, LICSW
• Tanya Ann Coutu, FNP-BC, RN
• Mark Couture Jr.
• Leanna Coviello
• Michael E Coyle, M.D.
• Carolyn Cozzens

• Oral and Maxillofacial Pathology Dentistry in Lowell, MA
• Providers in Lowell, MA by specialty
• Oral and Maxillofacial Pathology Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.