Amy Louise Boeckermann, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D13134 Issued in MN

Practice address

6600 France Ave S Ste 415
Edina, MN 55435-1817

Phone

(952) 224-9784

Fax

(952) 224-9791

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1407291891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351817",
            "telephone_number": "952-224-9784",
            "fax_number": "952-224-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351817",
            "telephone_number": "952-224-9784",
            "fax_number": "952-224-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKERMANN",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Luther Bodin
• Thomas Patrick Bodine, MD
• Elizabeth Bodnia, DO
• Body and Soul Therapy
• Body Systems, Inc.
• Alicia Boelman, PT, DPT
• Jennifer Marie Boelter
• Matthew P Boente, M.D.
• Daniela Kerekretyova Bogott, M.A, L.A.M.F.T,
• Jill Diane Boike, LICSW

• Dentist in Edina, MN
• Providers in Edina, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.