NPIMap

Organization Active NPI

Frederick M Bourgeois, DMD, PLLC

  • Dentist
  • Salem, NH
National Provider Identifier
1255528261
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FREDERICK M BOURGEOIS, DMD, PLLC
Practice address
32 Stiles Rd
Suite 205
Salem, NH 03079-2892
Phone
(603) 893-4538
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Dr. Frederick M Bourgeois, DMD
Title
Dentist
Phone
(603) 893-4538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

32 Stiles Rd
Suite 205
Salem, NH 03079-2892

Mailing address

32 Stiles Rd
Suite 205
Salem, NH 03079-2892
Phone (603) 893-4538

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1255528261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STILES RD",
            "address_2": "SUITE 205",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792892",
            "telephone_number": "603-893-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STILES RD",
            "address_2": "SUITE 205",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792892",
            "telephone_number": "603-893-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK M BOURGEOIS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-893-4538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.