Alex Ghassan Bachoura, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24787 Issued in TX

Practice address

26321 Northwest Fwy
Suite 700
Cypress, TX 77429-5758

Phone

(281) 256-8400

Fax

(281) 256-8412

NPI assigned

Jul 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Doctor of Medicine

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.

• Katy Periodontology and Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
  • NPI 1285039339
  NPD (past) Authorized official
• College Station Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • College Station, TX
  • NPI 1477101053
  NPD (past)
• Elite Oral Surgery Conroe PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Montgomery, TX
  • NPI 1336826593
  NPD (past)
• Spring Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring, TX
  • NPI 1649857962
  NPD (past)

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1487885083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-256-8400",
            "fax_number": "281-256-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26321 NORTHWEST FWY",
            "address_2": "SUITE 700",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295758",
            "telephone_number": "281-256-8400",
            "fax_number": "281-256-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHOURA",
        "first_name": "ALEX",
        "middle_name": "GHASSAN",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51043",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sania Azeem
• Hamza Aziz, MD
• B O G Advanced Family Medical Management Inc
• Okwudirinna Anita Babalola
• Babel Therapy, PLLC
• Daniel R Backlas, MD
• Stacy Anne Bacon, M.D.
• Corlischa Amanda Badenhorst
• Anisa Bahja, NP
• Britney Nicole Bailey

• Oral and Maxillofacial Surgery (Dentist) in Cypress, TX
• Providers in Cypress, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.