Individual provider Active NPI

Furkan Dogan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fredericksburg, VA
National Provider Identifier
1689902116
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401417585 Issued in VA
Practice address
10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709
Phone
(402) 252-2595
NPI assigned
Nov 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS039112 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17190 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401417585 VA Primary

Addresses

Primary practice location

10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709

Mailing address

10009 Southpoint Pkwy Ste 201-a
Fredericksburg, VA 22407-2709
Phone (540) 225-2259

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

LicenseStateTypeSpecialty
DS039112PAMDOral and Maxillofacial Surgery (Dentist)
0401417585VAMDOral and Maxillofacial Surgery (Dentist)
17190MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Stafford GW Oral Surgery PLLC CurrentSince Dec 15, 2024 Accepting new patients
Greater Washington Oral and Maxillofacial Surgery CurrentSince Mar 27, 2022 Accepting new patients
South Texas Dental Associates, L.P. General Practice PastSince Sep 1, 2021 Accepting new patients
Evolution Oral Surgery PastSince Jan 1, 2021 Accepting new patients
Brident Dental Associates PC PastSince Sep 1, 2021 Accepting new patients

Locations

10009 Southpoint Pkwy
Ste 201A
Fredericksburg, VA 22407
Phone (402) 252-2595

Interoperability endpoints

  • Direct secure messaging: fdogan54725@direct.metrohealth.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1689902116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 SOUTHPOINT PKWY STE 201-A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072709",
            "telephone_number": "540-225-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 SOUTHPOINT PKWY STE 201-A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072709",
            "telephone_number": "402-252-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGAN",
        "first_name": "FURKAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2022-03-23",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039112",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "17190",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401417585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.