Raymond Bogaert MDM PHD PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6914 Issued in WA

Legal business name

RAYMOND BOGAERT MDM PHD PLLC

Doing business as

ALDERWOOD ENDODONTIC ASSOCIATES

Practice address

19108 33Rd Ave W Ste a
Lynnwood, WA 98036-4728

Phone

(425) 771-4427

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Raymond Bogaert, DMD PHD

Title

Owner

Phone

(425) 771-4427

Specialties & licenses 1

Addresses

Other names 1

• ALDERWOOD ENDODONTIC ASSOCIATES Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477646453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-771-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-771-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND BOGAERT MDM PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGAERT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-771-4427",
        "authorized_official_credential": "DMD PHD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "6914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALDERWOOD ENDODONTIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Endodontics in Washington

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