Earl K Bogrow, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901012327 Issued in MI

Practice address

28411 Northwestern Hwy Ste 230
Southfield, MI 48034-5548

Phone

(248) 827-1144

Fax

(248) 827-0949

NPI assigned

Nov 15, 2006

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Michigan School of Dentistry, 1979

Medicare assignment

May accept Medicare assignment

Group practices

Earl Bogrow DDS PCGroup PAC ID 5395938799, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earl Bogrow DDS PC

  • General Practice Dentistry
  • Southfield, MI
  • NPI 1225347081
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1689746307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26655 YORK RD",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701314",
            "telephone_number": "248-544-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28411 NORTHWESTERN HWY STE 230",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345548",
            "telephone_number": "248-827-1144",
            "fax_number": "248-827-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGROW",
        "first_name": "EARL",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901012327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bober
• Benjamin Bodman
• Colleen Bodnar, CRNA
• Cynthina Lynn Boggs
• Claire Hailey Bogrow
• Bonita Simcha Bohl, R PH
• Deanne Renee' Bolden, LMSW
• Devottis Renee Boleyn
• Kinita Boller, MS
• James C. Bolz, MD

• Dentist in Southfield, MI
• Providers in Southfield, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.