M. Alan Bagden, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5364 Issued in NJ

Practice address

6120 Brandon Avenue
Suite 104
Springfield, VA 22150-6120

Phone

(703) 451-3900

Fax

(703) 451-7912

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1033361993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVENUE",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221506120",
            "telephone_number": "703-451-3900",
            "fax_number": "703-451-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVENUE",
            "address_2": "SUITE 104",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221506120",
            "telephone_number": "703-451-3900",
            "fax_number": "703-451-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDEN",
        "first_name": "M.",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "5364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azmy LLC
• Michaela Babcock
• Amy C Babish, MA, LPC, ATR-BC
• Yasmin Ziad Badr, RBT
• Mary M Bagby, LPC
• Esther Kim Bahk, M.D.
• Mary Ellen Bailey, LCSW
• Baileys Home Health Care (VA Home Cares)
• Harman P Bajwa, MD
• Sam Baker, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.