Active NPI
Dana Ray Boehm, DDS
- Dentist
- Spring, TX
National Provider Identifier
1619070141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14277
- Practice address
- 8220 Louetta Rd
Suite 130
Spring, TX 77379 - Phone
- (281) 370-5088
- Fax
- (281) 370-0303
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14277 | TX | Primary |
Addresses
Primary practice location
8220 Louetta Rd
Suite 130
Spring, TX 77379
Mailing address
8220 Louetta Road
Suite 130
Spring, TX 77379
Phone (281) 370-5088
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 |
|---|---|---|---|
| 14277 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619070141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 LOUETTA ROAD",
"address_2": "SUITE 130",
"city": "SPRING",
"state": "TX",
"postal_code": "77379",
"telephone_number": "281-370-5088",
"fax_number": "281-370-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 LOUETTA RD",
"address_2": "SUITE 130",
"city": "SPRING",
"state": "TX",
"postal_code": "77379",
"telephone_number": "281-370-5088",
"fax_number": "281-370-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "DANA",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.