Sarah Bouchard, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN1000919 Issued in DC

Practice address

412 1St St SE
Washington, DC 20003-1804

Phone

(202) 863-1600

NPI assigned

Jun 22, 2010

Sex

Female

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)

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 and National Provider Directory roles.

• Penbay Dental LLC

  • Dental Clinic/Center
  • Rockport, ME
  • NPI 1417538240
  NPD Authorized official
• Tiny Dental LLC

  • Dental Clinic/Center
  • Damariscotta, ME
  • NPI 1598363947
  NPD Authorized official

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1982925160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "202-863-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "202-863-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "SARAH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DEN1000919",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali M Bou-Shahri, M.D.
• Adoude Bouabey
• Anani Bouabey
• Maha L Bouaichi, SPT
• Norman J. Bouchard, D.D.S.
• Jeromy Travis Boucher, D.O.
• Julie Marie Boucher
• Najat Bouchkouj, M.D.
• Karim Boudadi, MD
• Alyson Raynor Boudreau

• All providers in Washington, DC
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.