Bruce Jeffrey Katz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1578 Issued in NH

Practice address

107 Main St
Colebrook, NH 03576-0055

Phone

(603) 237-8919

Fax

(603) 237-8919

NPI assigned

Aug 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

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

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366558207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "address_2": "107 MAIN ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035760055",
            "telephone_number": "603-237-8919",
            "fax_number": "603-237-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035760055",
            "telephone_number": "603-237-8919",
            "fax_number": "603-237-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "BRUCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002018",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89192018",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Hamel, WAIVER
• Sharon Heard-McKnight
• Evelyn Hopkins
• Indian Stream Health Center, Inc
• Christine S Johns
• Richard A Kay, O.D.
• Jennifer Louisa Keazer, RPH
• Renee S Kennett, WAIVERED
• Dawn Melissa Keyes, FNP
• Shannon L Knecht, DPT

• Dentist in Colebrook, NH
• Providers in Colebrook, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.