Active NPI
Darlene Bogenpohl
- Dental Hygienist
- Joplin, MO
National Provider Identifier
1174127989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2019038938
- Practice address
- 3950 Newman Rd
Joplin, MO 64801-1512 - Phone
- (417) 625-3078
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2019038938 | MO | Primary |
Addresses
Primary practice location
3950 Newman Rd
Joplin, MO 64801-1512
Mailing address
7914 County Lane 287
Carl Junction, MO 64834-6214
Phone (417) 625-9600
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 |
|---|---|---|---|
| 2019038938 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1174127989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7914 COUNTY LANE 287",
"city": "CARL JUNCTION",
"state": "MO",
"postal_code": "648346214",
"telephone_number": "417-625-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 NEWMAN RD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648011512",
"telephone_number": "417-625-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGENPOHL",
"first_name": "DARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2019038938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.