Individual provider Active NPI

Cindy Bogdanoff, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1942428545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9852 Issued in GA
Practice address
2706 Clairmont Rd NE
Atlanta, GA 30329-2713
Phone
(404) 633-9663
Fax
(404) 633-2411
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9852 GA Primary

Addresses

Primary practice location

2706 Clairmont Rd NE
Atlanta, GA 30329-2713

Mailing address

2706 Clairmont Rd NE
Atlanta, GA 30329-2713
Phone (404) 633-9663

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

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942428545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 CLAIRMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292713",
            "telephone_number": "404-633-9663",
            "fax_number": "404-633-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 CLAIRMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292713",
            "telephone_number": "404-633-9663",
            "fax_number": "404-633-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOFF",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.