Active NPI
Valerie Ngangoua Bouhom, DMD
- Dentist
- Newtown, CT
National Provider Identifier
1760008403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12782
- Practice address
- 32 Church Hill Rd
Newtown, CT 06470-1638 - Phone
- (636) 675-0958
- NPI assigned
- Jun 18, 2020
- Last updated
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12782 | CT | Primary |
Addresses
Primary practice location
32 Church Hill Rd
Newtown, CT 06470-1638
Mailing address
8 Briarwood LN
Newtown, CT 06470-1058
Phone (636) 675-0958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12782 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1760008403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BRIARWOOD LN",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701058",
"telephone_number": "636-675-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CHURCH HILL RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701638",
"telephone_number": "636-675-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUHOM",
"first_name": "VALERIE",
"middle_name": "NGANGOUA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.