Active NPI
Daniel Vogl, DDS
- Dentist
- Bolivar, MO
National Provider Identifier
1508901406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2008033774
- Practice address
- 1500 N Oakland Ave
Bolivar, MO 65613-3011 - Phone
- (801) 866-7337
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5546679-9922 | UT | |
| Dentist | 122300000X | 6506 | CO | |
| Dentist | 122300000X | 2008033774 | MO | Primary |
Addresses
Primary practice location
1500 N Oakland Ave
Bolivar, MO 65613-3011
Mailing address
PO Box 1014
Bolivar, MO 65613-4014
Phone (801) 866-7337
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 |
|---|---|---|---|
| 6506 | CO | MD | Dentist |
| 2008033774 | MO | MD | Dentist |
| 5546679-9922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1508901406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1014",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656134014",
"telephone_number": "801-866-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133011",
"telephone_number": "801-866-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGL",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5546679-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6506",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2008033774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.