Angela Marie Boehler, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN-14715 Issued in FL

Practice address

17912 Toledo Blade Blvd Ste B
Port Charlotte, FL 33948-1021

Phone

(941) 625-5141

Fax

(941) 625-5001

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homoky Family Dentistry PA

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1871749457
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1437171493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17912 TOLEDO BLADE BLVD STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481021",
            "telephone_number": "941-625-5141",
            "fax_number": "941-625-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17912 TOLEDO BLADE BLVD STE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481021",
            "telephone_number": "941-625-5141",
            "fax_number": "941-625-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHLER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN-14715",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN-14715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Bliss
• Blue Ocean Healthcare Physicians Group
• Bluebird Behavior Therapy LLC
• Lohaliz Bobe, MD
• Bobs Better Hearing LLC (Bobs Better Hearing SWFL)
• Bohn Physical Therapy LLC
• Susan Carmen Boland
• Annmarie Green Bolduc, APRN
• Kelli Sue Boley, PHARMD
• Pamela Kay Bolton, APRN

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.