Mark Steven Bogdan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE 00007296 Issued in WA

Practice address

11919 West Sprague Ave
Airway Heights, WA 99001-1899

Phone

(509) 244-6840

NPI assigned

Apr 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1073830261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031635",
            "telephone_number": "509-456-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 WEST SPRAGUE AVE",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990011899",
            "telephone_number": "509-244-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 00007296",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristal Berglund, PHARMD
• Elizabeth Christina Best, MSW, LSWAIC, CDP
• Brandi Nicole Bigsby, LMP
• Travis C Birrell, DPT
• Philip Bledsoe
• Chani Ramona Brooks, LMP
• Jeanette C Bussell, RN
• Aaron Michael Cady
• Cazan & Menke PLLC (Airway Heights Dental)
• Sandra A. Conner, ARNP

• Dentist in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.