Bellingham Oral Surgery and Dental Implants

Primary specialty

SpecialistTaxonomy code 174400000X

License

DE00008501 Issued in WA

Legal business name

BELLINGHAM ORAL SURGERY AND DENTAL IMPLANTS

Practice address

192 E Bakerview Rd
Suite 101
Bellingham, WA 98226-8179

Phone

(360) 990-0039

NPI assigned

Jun 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randy J Bogard, D.M.D

Title

President

Phone

(360) 990-0039

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371945600000",
    "number": "1730528720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 72ND DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707890",
            "telephone_number": "360-990-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E BAKERVIEW RD",
            "address_2": "SUITE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268179",
            "telephone_number": "360-990-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM ORAL SURGERY AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-990-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "DE00008501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2013; 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.