Luke W Bogdanowicz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11440 Issued in MN

Practice address

8525 Edinbrook Xing Ste 402
Brooklyn Park, MN 55443-3729

Phone

(763) 425-5277

NPI assigned

Oct 27, 2005

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 MN

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

Locations

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.

• Dr. Luke W Bogdanowicz DDS and Associates LTD

  • General Practice Dentistry
  • Brooklyn Park, MN
  • NPI 1508564030
  NPD Authorized official

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1922098185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING STE 402",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433729",
            "telephone_number": "763-425-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EDINBROOK XING STE 402",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433729",
            "telephone_number": "763-425-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOWICZ",
        "first_name": "LUKE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Blevins
• Dawn Blindauer, DNP, APRN, CNP
• Patricia L Bloom
• Ross Boekhoff
• Jordan Boekhout, D.C.
• Katie Bons
• Blake Boulka
• Tana Brakke, CCC-SLP
• Shantel Shavon Branch-Fleming, M.D.
• Jacqueline Marie Brand, APRN, CPNP

• General Practice Dentistry in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.