Richard J Mazour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5838 Issued in NE

Practice address

801 West Court Street
Beatrice, NE 68310

Phone

(402) 223-5109

Fax

(402) 223-5310

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Richard J. Mazour DDS

  • General Practice Dentistry
  • Beatrice, NE
  • NPI 1295089738
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942392089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WEST COURT STREET",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "68310",
            "telephone_number": "402-223-5109",
            "fax_number": "402-223-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST COURT STREET",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "68310",
            "telephone_number": "402-223-5109",
            "fax_number": "402-223-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOUR",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075919300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah F Mason, PA-C
• Brooke Mastalir, OTR
• Emalee Maxson
• Jacob Daniel May, D.C.
• Richard Gary Mayfield, BCBA
• Krista Doreen McCaghy, BSOT
• Martha Ellen McCarthy
• Kathryn Ladean McDonald, MS, PLMHP
• Mikayla McEvers
• Kimberlee None McGill

• Dentist in Beatrice, NE
• Providers in Beatrice, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.