Organization Active NPI

Carrie L Bohm DDS PLLC

  • General Practice Dentistry
  • Redmond, WA
National Provider Identifier
1407704240
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARRIE L BOHM DDS PLLC
Practice address
8105 166TH Ave NE Ste 201
Redmond, WA 98052-3999
Phone
(425) 885-5119
Fax
(425) 885-5119
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Carrie Bohm, BOHMNPI 1598078206
Title
Owner
Phone
(425) 885-5119

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8105 166TH Ave NE Ste 201
Redmond, WA 98052-3999

Mailing address

8105 166TH Ave NE Ste 201
Redmond, WA 98052-3999
Phone (425) 885-5119

National Provider Directory

National Provider Directory

Locations

8105 166th Ave NE
Ste 201
Redmond, WA 98052
Phone (425) 885-5119

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1407704240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 201",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-885-5119",
            "fax_number": "425-885-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 166TH AVE NE STE 201",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523999",
            "telephone_number": "425-885-5119",
            "fax_number": "425-885-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE L BOHM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "BOHM",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-885-5119",
        "authorized_official_credential": "BOHM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.