Boehm Dental Specialists PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BOEHM DENTAL SPECIALISTS PC

Practice address

16465 Sierra Lakes Pkwy Ste 230
Fontana, CA 92336-1242

Phone

(909) 775-1200

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Tobias K Boehm, DDSNPI 1235469529

Title

Owner Dentist

Phone

(909) 740-4476

Specialties & licenses 1

Addresses

Other names 1

• Fontana Periodontics and Implantology Doing business as

Locations

Practitioners 1

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

• Tobias Konrad Boehm, D.D.S, PH.D.

  • Periodontics
  • Pomona, CA
  • NPI 1235469529
  NPD Authorized official

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1174417935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 230",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 230",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-775-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEHM DENTAL SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-740-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana Periodontics and Implantology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth E Bliss, CRNA
• Blue Arrow Non Emergency Medical Transportation
• Bobby Smith Professional Chiropractic
• Lisa Bodzio, PA-C
• Brian Boeck, PH.D, BCBA
• Sara Boghosian, FNP-C
• Lauren Elaina-Emad Bolous
• Brittany Lang Bongga, NP
• Judith Anallely Bonilla Lopez
• Brianna Bonilla

• Periodontics in Fontana, CA
• Providers in Fontana, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.