Dana Alexzandria Bogdanove, PSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

NA Issued in OR

Practice address

140 S Holly St
Medford, OR 97501-3113

Phone

(541) 774-8200

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1396351730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W RAPP RD UNIT 113",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975408676",
            "telephone_number": "541-324-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S HOLLY ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013113",
            "telephone_number": "541-774-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOVE",
        "first_name": "DANA",
        "middle_name": "ALEXZANDRIA",
        "credential": "PSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Boehm
• Haylie Boehringer
• Arno Boer
• Cynthia Boersma
• Jocelyn Boffing, RDH
• Toni R Boguslawski, MSPT
• Prima R. Bohall, B.E.D.
• Erica A Bohan, MD
• Kerry Boisen
• Michael Robert Boldt, DMD

• Peer Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.