NPI 1669360616 · live from the CMS NPI Registry
Arthur Bogdanove, RD,PhD
Dietitian, Registered in New Hope, MN. National Provider Identifier 1669360616, active.
NPI record
| NPI | 1669360616 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 6013 W Broadway Ave Apt 104, New Hope, MN 55428 |
| Practice phone | 651-756-9867 |
| Enumerated | June 26, 2025 |
| Last updated | June 26, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 694564 (IL) |
| Dietitian, Registered, Nutrition, Obesity and Weight Management | 133VN1201X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.