Robert Bogan DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

045425 Issued in NY

Legal business name

ROBERT BOGAN DDS PC

Practice address

5606 Broadway
Bronx, NY 10463

Phone

(718) 549-5544

Fax

(718) 549-5544

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Elliot Bogan, DDSNPI 1467576835

Title

President

Phone

(718) 549-5544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Elliot Bogan, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1467576835
  NPD (past) Authorized official

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1811327620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635500",
            "telephone_number": "718-549-5544",
            "fax_number": "718-549-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-549-5544",
            "fax_number": "718-549-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BOGAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-549-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyal Kopel Robenshtok, M.D.
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• Katheryn Roberson
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• Robert Anderson LCSW Services, PLLC
• Robert C. Alvis MD PLLC
• Robert J Landy
• Robert L Plummer MD Facs PC
• Robert M. Oropall DPM
• Robert P Taglia, M.D.,P.C.

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.