Organization Active NPI

MG Bachour DDS Inc

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1205956174
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44826 Issued in CA
Legal business name
MG BACHOUR DDS INC
Practice address
700 W Olive Ave
Suite. E
Merced, CA 95348-2435
Phone
(209) 723-5005
Fax
(209) 381-2036
NPI assigned
Apr 2, 2007
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Mounzer Bachour, DMD
Title
Ceo
Phone
(209) 723-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44826 CA Primary

Addresses

Primary practice location

700 W Olive Ave
Suite. E
Merced, CA 95348-2435

Mailing address

700 W Olive Ave
Suite. E
Merced, CA 95348-2435
Phone (209) 723-5005

Other names 1

  • MG BACHOUR DDS Other name

National Provider Directory

National Provider Directory

Locations

700 W Olive Ave
Ste E
Merced, CA 95348
Phone (209) 723-5005

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1205956174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE",
            "address_2": "SUITE. E",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-723-5005",
            "fax_number": "209-381-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W OLIVE AVE",
            "address_2": "SUITE. E",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482435",
            "telephone_number": "209-723-5005",
            "fax_number": "209-381-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG BACHOUR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BACHOUR",
        "authorized_official_first_name": "MOUNZER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-723-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG BACHOUR DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.