Matthew Valcourt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855752 Issued in MA

Practice address

434 Southbridge St Ste B
Auburn, MA 01501-4423

Phone

(508) 832-8705

NPI assigned

Jun 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

State licenses

Practice roles

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.

• Jasmin Henville DMD PC

  • General Practice Dentistry
  • Auburn, MA
  • NPI 1033479019
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1245527241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SOUTHBRIDGE ST STE B",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015014423",
            "telephone_number": "508-832-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCOURT",
        "first_name": "MATTHEW",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Turk
• Lily Tuthill
• Marisol Uribe, DMD
• USA Extended Care, Inc.
• Bryanna Vail, LMHC
• Tammy E Vargas, M.D.
• Jeannece Vega Zayas
• Daniel Evan Viders, MD
• Visiting Nurse Association of Southern Worcester County Inc.
• Vistacare of Boston, LLC

• General Practice Dentistry in Auburn, MA
• Providers in Auburn, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.