John K Boedigheimer DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

14422 Issued in OH

Legal business name

JOHN K BOEDIGHEIMER DDS INC

Practice address

1445 N Main Ave
Sidney, OH 45365-1782

Phone

(937) 492-9983

Fax

(937) 492-8869

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Kennedy Boedigheimer, DDS

Title

President of John K Boedigheimer DD

Phone

(937) 492-9983

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508924739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N MAIN AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651782",
            "telephone_number": "937-492-9983",
            "fax_number": "937-492-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N MAIN AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651782",
            "telephone_number": "937-492-9983",
            "fax_number": "937-492-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K BOEDIGHEIMER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEDIGHEIMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT OF JOHN K BOEDIGHEIMER DD",
        "authorized_official_telephone_number": "937-492-9983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "14422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Sidney, OH
• Providers in Sidney, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.