Organization Active NPI

Bohman Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Broomfield, CO
National Provider Identifier
1629217583
Registry record updated Feb 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9599 Issued in CO
Legal business name
BOHMAN ORTHODONTICS, PC
Practice address
13605 Xavier LN
Suite D
Broomfield, CO 80023-3603
Phone
(720) 887-8357
Fax
(720) 887-8359
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2009

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

Authorized official

Name
Dr. Brian Bohman, DMDNPI 1285849463
Title
Orthodontist
Phone
(720) 887-8357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9599 CO Primary

Addresses

Primary practice location

13605 Xavier LN
Suite D
Broomfield, CO 80023-3603

Mailing address

13605 Xavier LN
Suite D
Broomfield, CO 80023-3603
Phone (720) 887-8357

National Provider Directory

National Provider Directory

Locations

13605 Xavier Ln
Ste D
Broomfield, CO 80023
Phone (720) 887-8357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234742400000",
    "number": "1629217583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "720-887-8357",
            "fax_number": "720-887-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "720-887-8357",
            "fax_number": "720-887-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHMAN ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A",
        "authorized_official_last_name": "BOHMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "720-887-8357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.