Organization Active NPI

K Boehm DDS & Assoc PC

  • General Practice Dentistry
  • Hoffman Estates, IL
National Provider Identifier
1073772935
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023670 Issued in IL
Legal business name
K BOEHM DDS & ASSOC PC
Doing business as
K Boehm DDS & Assoc PC
Practice address
1585 Barrington Rd
Ste 106
Hoffman Estates, IL 60169-5019
Phone
(847) 884-1220
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Kevin Michael Boehm, DDS
Title
Owner
Phone
(847) 884-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019023670 IL Primary

Addresses

Primary practice location

1585 Barrington Rd
Ste 106
Hoffman Estates, IL 60169-5019

Mailing address

1585 N Barrington Rd Ste106
Doctors BLDG Two
Hoffman Estates, IL 60169
Phone (847) 884-1220

Other names 1

  • K Boehm DDS & Assoc PC Doing business as

National Provider Directory

National Provider Directory

Locations

1585 N Barrington Rd
Ste 106
Hoffman Estates, IL 60169
Phone (847) 884-1220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1073772935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N BARRINGTON RD STE106",
            "address_2": "DOCTORS BLDG TWO",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-884-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BARRINGTON RD",
            "address_2": "STE 106",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695019",
            "telephone_number": "847-884-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K BOEHM DDS & ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-884-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K Boehm DDS & Assoc PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.