Individual provider Active NPI

Annisya K Bagdonas, DDS, RN

  • Dentist
  • Weymouth, MA
National Provider Identifier
1962965160
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN-1859127 Issued in MA
Practice address
851 Main St Ste 18
Weymouth, MA 02190-1615
Phone
(617) 328-4050
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN-1859127 MA Primary

Addresses

Primary practice location

851 Main St Ste 18
Weymouth, MA 02190-1615

Mailing address

851 Main St Ste 18
Weymouth, MA 02190-1615

Other practice location 1

900 Route 134 Ste 3-24
South Dennis, MA 02660-2573
Phone (508) 240-2588

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
DN-1859127MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Sleep Solutions PLLC Current Accepting new patients
Annisya Bagdonas, DDS, PLLC Dentist Current Accepting new patients
Bagdonas Dental PLLC Dentist Current Accepting new patients
PDG, P.a. Single Specialty PastSince Nov 1, 2020 Accepting new patients

Locations

851 Main St
Ste 18
Weymouth, MA 02190
Phone (617) 328-4050

Organizations & group practices 4

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1962965160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 MAIN ST STE 18",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MAIN ST STE 18",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901615",
            "telephone_number": "617-328-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Route 134 Ste 3-24",
            "address_purpose": "LOCATION",
            "city": "South Dennis",
            "state": "MA",
            "postal_code": "026602573",
            "country_code": "US",
            "telephone_number": "508-240-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGDONAS",
        "first_name": "ANNISYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN-1859127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.