John C Boeker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10358 Issued in MN

Practice address

1751 Hwy 52 N
Rochester, MN 55901-1692

Phone

(507) 282-9288

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amethyst Dental Care LLC

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1609485432
  NPD Authorized official

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720073554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 ETTENMOOR LN SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559028741",
            "telephone_number": "507-288-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 HWY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011692",
            "telephone_number": "507-282-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEKER",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal David Boeder Jr., M.D.
• Stacey Boehm
• Kasey R Boehmer, PHD, MPH, NBC-HWC
• Grace Elizabeth Louise Boehnke, LADC
• Scott Monroe Boeke, DO
• Mark A Boenish, CRNA
• Rebecca A Boenish, CRNA
• Guido Boerrigter, MD
• Christopher J Boes, M.D.
• Richard Paul Boesch, DO

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.