Active NPI
Katelyn Bogart, DDS
- Dentist
- Livonia, MI
National Provider Identifier
1376450700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901606031
- Practice address
- 38000 Ann Arbor TRL
Livonia, MI 48150-2453 - Phone
- (734) 591-3636
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901606031 | MI | Primary |
Addresses
Primary practice location
38000 Ann Arbor TRL
Livonia, MI 48150-2453
Mailing address
220 Roehrig St
Trenton, MI 48183-1252
Phone (734) 756-1732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1376450700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ROEHRIG ST",
"city": "TRENTON",
"state": "MI",
"postal_code": "481831252",
"telephone_number": "734-756-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38000 ANN ARBOR TRL",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502453",
"telephone_number": "734-591-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGART",
"first_name": "KATELYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901606031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.