Boehm Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

15963 Issued in TX

Legal business name

BOEHM DENTAL, PLLC

Practice address

808 N Fulton St
Wharton, TX 77488-3946

Phone

(979) 532-4400

NPI assigned

Sep 11, 2012

Organization subpart

No

Name

Dr. Richard J Boehm, D.D.S.NPI 1780933754

Title

Owner

Phone

(979) 532-4400

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

• Richard J Boehm, D.D.S.

  • Dentist
  • Wharton, TX
  • NPI 1780933754
  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2012.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1245580968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883946",
            "telephone_number": "979-532-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N FULTON ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883946",
            "telephone_number": "979-532-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEHM DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wharton, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.