Eric W Bohl DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018710 Issued in IL

Legal business name

ERIC W BOHL DDS LTD

Practice address

1024 E Schaumburg Rd
Streamwood, IL 60107-1874

Phone

(630) 837-7775

Fax

(630) 837-6440

NPI assigned

Feb 15, 2008

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric W Bohl, DDSNPI 1467620195

Title

President

Phone

(630) 837-7775

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric W Bohl, DDS

  • General Practice Dentistry
  • Streamwood, IL
  • NPI 1467620195
  NPD (past) Authorized official

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1457529182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E SCHAUMBURG RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071874",
            "telephone_number": "630-837-7775",
            "fax_number": "630-837-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E SCHAUMBURG RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071874",
            "telephone_number": "630-837-7775",
            "fax_number": "630-837-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC W BOHL DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "BOHL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-837-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Streamwood, IL
• Providers in Streamwood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.