Olga Bachour, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65054 Issued in CA

Practice address

3605 Hospital Rd
Suite a
Atwater, CA 95301-5173

Phone

(209) 381-2005

Fax

(209) 381-2036

NPI assigned

Sep 4, 2015

Last updated

Sep 4, 2015By 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

Enrolled in MA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bachour Dental Corporation

  dba Castle Dental Group

  • Dentist
  • Atwater, CA
  • NPI 1588784458
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1861860975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BOBWHITE CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408352",
            "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": {
        "last_name": "BACHOUR",
        "first_name": "OLGA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azizulah Ayobi
• Ayoesco LLC
• Hailey Azevedo
• Bachour Dental Corporation (Castle Dental Group)
• Mounzer Bachour, DMD
• Christina Baek, D.D.S.
• Patricia Angelica Bahamondes Morales
• Rashpinder Kaur Bains, DDS
• Lisa Anne Baker
• Yolibeth Balcacer

• General Practice Dentistry in Atwater, CA
• Providers in Atwater, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.