Active NPI
Mounzer Bachour, DMD
- Dentist
- Atwater, CA
National Provider Identifier
1275735821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44826
- Practice address
- 3605 Hospital Rd Ste a
Atwater, CA 95301-5173 - Phone
- (209) 381-2005
- Fax
- (209) 381-2036
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 44826 | CA | Primary |
Addresses
Primary practice location
3605 Hospital Rd Ste a
Atwater, CA 95301-5173
Mailing address
621 Bobwhite CT
Merced, CA 95340-8352
Phone (209) 381-2005
Other names 1
- Dr. MG Bachour
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44826 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bachour Dental Corporation | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Atwater, CA
- NPI 1588784458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1275735821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 BOBWHITE CT",
"city": "MERCED",
"state": "CA",
"postal_code": "953408352",
"telephone_number": "209-381-2005",
"fax_number": "209-381-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 HOSPITAL RD STE A",
"city": "ATWATER",
"state": "CA",
"postal_code": "953015173",
"telephone_number": "209-381-2005",
"fax_number": "209-381-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHOUR",
"first_name": "MOUNZER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MG",
"last_name": "BACHOUR",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.