Katherine Leigh Boehm, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12012527A Issued in IN

Practice address

611 Spring St
#3206
Indianapolis, IN 46202-3783

Phone

(812) 631-8826

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1285085217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SPRING ST",
            "address_2": "#3206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023783",
            "telephone_number": "812-631-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SPRING ST",
            "address_2": "#3206",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023783",
            "telephone_number": "812-631-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "KATHERINE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012527A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body Mechanics Health and Wellness
• Body One Health and Fitness Center, LLC
• John Matthew Boe, M.D.
• August Hill Boeglin, M.D.
• Robert J Boeglin Jr., M.D.
• Lynda Carole Boehme, LCSW
• Blair Edward Boehmer, M.D.
• Leslie A Boehrer, RN
• Katherine Lucy Boeldt, OTR
• Tiffany Lynn Boelke, PHARMD, BCACP

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.