Boehme Dentists of Carson City, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BOEHME DENTISTS OF CARSON CITY, PC

Practice address

1457 S Carson St Ste 101
Carson City, NV 89701-5227

Phone

(775) 372-9898

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Judd Boehme

Title

Owner

Phone

(775) 372-9898

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Matthew Ross Lisenby, DMD

  • General Practice Dentistry
  • Carson City, NV
  • NPI 1992367338
  NPD (past)
• Austin Carl Loveland, DMD

  • Dentist
  • Carson City, NV
  • NPI 1124864343
  NPD (past)
• Matthew Ross, DMD

  • Dentist
  • Salem, OR
  • NPI 1811473515
  NPD (past)
• Joel C Smith, DDS

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1538713342
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1265955009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 S CARSON ST STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015227",
            "telephone_number": "775-372-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOEHME DENTISTS OF CARSON CITY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "BOEHME",
        "authorized_official_first_name": "JUDD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-372-9898"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Boardman, PT
• Derek Bobst, APRN
• Rebekah Bock, LCSW
• Stephen Ross Bodine, PT, DPT
• Body and Mind Health Partners
• William H Boehnke, PT
• Katie Bomberger, APRN
• Khara Bond
• Sage Matta Bonelli
• Daniela Borgia, PA

• Dentist in Carson City, NV
• Providers in Carson City, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.