Organization Active NPI

Paul H. Boehme, D.D.S., P.C.

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1174642581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014743 Issued in MO
Legal business name
PAUL H. BOEHME, D.D.S., P.C.
Practice address
5430 Lemay Ferry Rd
Suite 3
Saint Louis, MO 63129-2378
Phone
(314) 892-8853
Fax
(314) 892-9726
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Herbert Boehme, DDSNPI 1275694671
Title
Owner
Phone
(314) 892-8853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014743 MO Primary

Addresses

Primary practice location

5430 Lemay Ferry Rd
Suite 3
Saint Louis, MO 63129-2378

Mailing address

5430 Lemay Ferry Rd
Suite 3
Saint Louis, MO 63129-2378
Phone (314) 892-8853

National Provider Directory

National Provider Directory

Locations

5430 Lemay Ferry Rd
Ste 3
Saint Louis, MO 63129
Phone (314) 892-8853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174642581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 LEMAY FERRY RD",
            "address_2": "SUITE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292378",
            "telephone_number": "314-892-8853",
            "fax_number": "314-892-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LEMAY FERRY RD",
            "address_2": "SUITE 3",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631292378",
            "telephone_number": "314-892-8853",
            "fax_number": "314-892-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H. BOEHME, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEHME",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-892-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.