NPIMap

Organization Active NPI

North Orange Family Dentistry, Kyle D. Bogan, DDS, LLC

  • General Practice Dentistry
  • Delaware, OH
National Provider Identifier
1568706091
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022770 Issued in OH
Legal business name
NORTH ORANGE FAMILY DENTISTRY, KYLE D. BOGAN, DDS, LLC
Practice address
7325 Gooding Blvd
Delaware, OH 43015-7086
Phone
(740) 548-1800
Fax
(740) 548-1804
NPI assigned
Nov 21, 2012
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Dr. Kyle Dean Bogan, DDSNPI 1568624245
Title
Owner/Sole Member
Phone
(740) 548-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
General Practice Dentistry 1223G0001X 30-022770 OH Primary

Addresses

Primary practice location

7325 Gooding Blvd
Delaware, OH 43015-7086

Mailing address

7325 Gooding Blvd
Delaware, OH 43015-7086
Phone (740) 548-1800

National Provider Directory

National Provider Directory

Locations

7420 Gooding Blvd
#200
Delaware, OH 43015
Phone (614) 507-7339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1568706091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 GOODING BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157086",
            "telephone_number": "740-548-1800",
            "fax_number": "740-548-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 GOODING BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157086",
            "telephone_number": "740-548-1800",
            "fax_number": "740-548-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ORANGE FAMILY DENTISTRY, KYLE D. BOGAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "740-548-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.