Markell Bacoulis, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

735 Post Rd E
Westport, CT 06880-5238

Phone

(914) 261-3518

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1750070355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HILLTOP DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842126",
            "telephone_number": "203-610-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805238",
            "telephone_number": "914-261-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACOULIS",
        "first_name": "MARKELL",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Austin, LMFT
• Avery Center for OBGYN PC
• Tatyana Axyonova, FNP-BC
• Jennifer Ayala, CNS
• Valerie Babich, PSY.D.
• Candy Baker, RN
• Ralph Peter Balducci, PHD
• Elizabeth Anne Baldwin, PSYD
• Alexandra Banks
• Dennis D'Arcy Banks, MD, JD

• Dental Hygienist in Westport, CT
• Providers in Westport, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.