NPIMap

Organization Active NPI

Bachour Dental Corporation

Doing business as Castle Dental Group

  • Dentist
  • Atwater, CA
National Provider Identifier
1588784458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48292 Issued in CA
Legal business name
BACHOUR DENTAL CORPORATION
Doing business as
Castle Dental Group
Practice address
3605 Hospital Rd
Suite a
Atwater, CA 95301-5173
Phone
(209) 381-2005
Fax
(209) 381-2036
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mounzer Bachour, DMDNPI 1275735821
Title
Cfo
Phone
(209) 381-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48292 CA Primary

Addresses

Primary practice location

3605 Hospital Rd
Suite a
Atwater, CA 95301-5173

Mailing address

3605 Hospital Rd
Suite a
Atwater, CA 95301-5173
Phone (209) 381-2005

Other identifiers 1

IdentifierTypeStateIssuer
G92132-01OtherCADENTI-CAL

Other names 1

  • Castle Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3605 Hospital Rd
Ste A
Atwater, CA 95301
Phone (209) 381-2005

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588784458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL RD",
            "address_2": "SUITE A",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "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",
            "address_2": "SUITE A",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-2005",
            "fax_number": "209-381-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACHOUR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACHOUR",
        "authorized_official_first_name": "MOUNZER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-381-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92132-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.