Active NPI
Kevin Boehle, D.O.
- Occupational Medicine Physician
- Addison, TX
National Provider Identifier
1659458313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- J9978
- Practice address
- 15800 Midway Rd
Addison, TX 75001-4259 - Phone
- (972) 720-7909
- Fax
- (972) 720-7778
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 29, 2011
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | J9978 | TX | Primary |
Addresses
Primary practice location
15800 Midway Rd
Addison, TX 75001-4259
Mailing address
811 Shady Meadow Dr
Highland Village, TX 75077-3192
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9978 | TX | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1659458313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 SHADY MEADOW DR",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750773192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15800 MIDWAY RD",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014259",
"telephone_number": "972-720-7909",
"fax_number": "972-720-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHLE",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "J9978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
- Birch Anesthesia Management, LLC
- Crystal Blade, PHARMD
- Blue Star Medical, Inc.
- Karen Abbott Bodden, M.A., CCC-SLP
- Bodymastr, PLLC (Dallas Physical Therapy)
- Alycia Jeanne Boggs, M.S., CCC-SLP
- Erica Boghani, SLP-ASSISTANT
- Andrea Ellie Bologna, DC
- Ruth Bosire, NP
- Jerome Anthony Bowers, PRACTICUM CLINICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.