Individual provider Active NPI

Anthony Bogdan, DDS

  • Dentist
  • Schenectady, NY
National Provider Identifier
1790308757
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
061727 Issued in NY
Practice address
1004 Princetown Rd Ste 1
Schenectady, NY 12306-9766
Phone
(518) 355-5492
Fax
(518) 357-9928
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061727 NY Primary

Addresses

Primary practice location

1004 Princetown Rd Ste 1
Schenectady, NY 12306-9766

Mailing address

1004 Princetown Rd
Schenectady, NY 12306-9769
Phone (518) 355-5492

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
061727NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rotterdam Family Dental CurrentSince Feb 23, 2025 Accepting new patients
Dr. R. Shah Dentistry PC PastSince Apr 27, 2025 Accepting new patients
Mercy Dental LLC PastSince Jul 1, 2022 Accepting new patients

Locations

1004 Princetown Rd
Ste 1
Schenectady, NY 12306
Phone (518) 355-5492

Organizations & group practices 3

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1790308757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PRINCETOWN RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123069769",
            "telephone_number": "518-355-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PRINCETOWN RD STE 1",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123069766",
            "telephone_number": "518-355-5492",
            "fax_number": "518-357-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDAN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.