Richard Robert Bagdasarian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17748 Issued in MI

Practice address

6161 Orchard Lake Rd
Suite 101
West Bloomfield, MI 48322-2384

Phone

(248) 855-5212

Fax

(248) 855-3529

NPI assigned

Mar 19, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard R. Bagdasarian D.D.S., P.L.C.

  • General Practice Dentistry
  • West Bloomfield, MI
  • NPI 1437923562
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1720102411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 ORCHARD LAKE RD",
            "address_2": "STE 101",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222386",
            "telephone_number": "248-855-5212",
            "fax_number": "248-855-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 ORCHARD LAKE RD",
            "address_2": "SUITE 101",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222384",
            "telephone_number": "248-855-5212",
            "fax_number": "248-855-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDASARIAN",
        "first_name": "RICHARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harshini Avula, D.P.M
• Alexander Ayar, DPT
• Chadi G Azzi, RPH
• Shaun D Bach
• Franki Bagdade
• Sareen Bagdasarian
• Safiatu Logan Bah
• Norton Bahoura, PT, DPT
• Rocky Sami Bahoura, DPT
• Leena M Bahu, DDS

• General Practice Dentistry in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.