Bogdon Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOGDON DENTAL CORP

Practice address

523 E Glenoaks Blvd
Glendale, CA 91207-2015

Phone

(818) 243-5227

Fax

(818) 409-9261

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Bogdon, DDSNPI 1114991635

Title

Owner Dentist

Phone

(626) 755-5245

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin M Bogdon, DDS

  • General Practice Dentistry
  • Glendale, CA
  • NPI 1114991635
  NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1285357442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072015",
            "telephone_number": "818-243-5227",
            "fax_number": "818-409-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 E GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072015",
            "telephone_number": "818-243-5227",
            "fax_number": "818-409-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGDON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "BOGDON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "626-755-5245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Shield Hospice
• Blue Skies Hospice Inc
• Peter Kwaku Boateng, RN
• George Bodossian
• Body Systems Wellness Group Inc
• Kevin M Bogdon, DDS
• Boghossian & Martikian Chiropractic Inc
• Avedis V Boghossian, D.D.S
• David Boghossian, D.C.
• Frederick A Boghossian, M.D.

• General Practice Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.