Organization Active NPI

Frederick W Bourgeois DDS Inc

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1821907833
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FREDERICK W BOURGEOIS DDS INC
Practice address
5400 N High St
Columbus, OH 43214-1117
Phone
(614) 436-2817
Fax
(614) 436-3954
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Brian Bourgeois, DDS
Title
Treasurer
Phone
(614) 436-2817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5400 N High St
Columbus, OH 43214-1117

Mailing address

5400 N High St
Columbus, OH 43214-1117
Phone (614) 436-2817

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1821907833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141117",
            "telephone_number": "614-436-2817",
            "fax_number": "614-436-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141117",
            "telephone_number": "614-436-2817",
            "fax_number": "614-436-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W BOURGEOIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "614-436-2817",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.