Richard J. Mazour DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5838 Issued in NE

Legal business name

RICHARD J. MAZOUR DDS

Practice address

801 W. Court St.
Beatrice, NE 68310-3577

Phone

(402) 223-5109

Fax

(402) 223-5310

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah L. Mazour

Title

Office Manager

Phone

(402) 223-5109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Mazour, DDS

  • Dentist
  • Beatrice, NE
  • NPI 1942392089
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1295089738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W. COURT ST.",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103577",
            "telephone_number": "402-223-5109",
            "fax_number": "402-223-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W. COURT ST.",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103577",
            "telephone_number": "402-223-5109",
            "fax_number": "402-223-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. MAZOUR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MAZOUR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-223-5109",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Beatrice, NE
• Providers in Beatrice, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.