Active NPI
Russell Edward Bogacki, DDS
- General Practice Dentistry
- Springfield, VA
National Provider Identifier
1083605943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401008712
- Practice address
- 8344 Traford LN
Suite 3D
Springfield, VA 22152-1657 - Phone
- (703) 451-2867
- Fax
- (703) 991-8448
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401008712 | VA | Primary |
Addresses
Primary practice location
8344 Traford LN
Suite 3D
Springfield, VA 22152-1657
Mailing address
8344 Traford LN
Suite 3D
Springfield, VA 22152-1657
Phone (703) 451-2867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008712 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083605943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8344 TRAFORD LN",
"address_2": "SUITE 3D",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521657",
"telephone_number": "703-451-2867",
"fax_number": "703-991-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8344 TRAFORD LN",
"address_2": "SUITE 3D",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221521657",
"telephone_number": "703-451-2867",
"fax_number": "703-991-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGACKI",
"first_name": "RUSSELL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.