Active NPI
Austin F Boehm, DMD
- Dental Anesthesiology
- Round Rock, TX
National Provider Identifier
1437558103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 37975
- Practice address
- 3401 Royal Vista Blvd Ste a-100
Round Rock, TX 78681-1149 - Phone
- (512) 909-3171
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 37975 | TX | Primary |
Addresses
Primary practice location
3401 Royal Vista Blvd Ste a-100
Round Rock, TX 78681-1149
Mailing address
6706 Evercrest LN
San Antonio, TX 78239-1819
Phone (315) 525-4580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37975 | TX | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1437558103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 EVERCREST LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782391819",
"telephone_number": "315-525-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 ROYAL VISTA BLVD STE A-100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786811149",
"telephone_number": "512-909-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "AUSTIN",
"middle_name": "F",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2023-05-08",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "TX",
"license": "37975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.