Irwin Boe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60303 Issued in KS

Practice address

13430 W 62ND Ter
Shawnee, KS 66216-1784

Phone

(913) 962-4400

Fax

(913) 962-1144

NPI assigned

Jan 4, 2007

Last updated

Feb 7, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Shawnee Dental

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1306039987
  Authorized official Same address or phone
• Seneca Family Dental Brenda Herrman, DDS, LLC

  • Dental Clinic/Center
  • Seneca, MO
  • NPI 1467817189
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1922155696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 W 62ND TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161784",
            "telephone_number": "913-962-4400",
            "fax_number": "913-962-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 W 62ND TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161784",
            "telephone_number": "913-962-4400",
            "fax_number": "913-962-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOE",
        "first_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Danielle Black, DNP, FNP-BC
• Jason Bleich, PHARMD
• Cynthia J Bloyer, AUD
• Bluehawk Creative Learning Center, Inc.
• Marilyn Elizabeth Boaz, OTR CHT
• Agustina Boehringer, DMSC, PA-C
• Richard Bollig, LSCSW, LCSW
• Lynda Bond
• Shandon Demetrius Boone, DDS
• Erin Christine Boss, LMSW

• General Practice Dentistry in Shawnee, KS
• Providers in Shawnee, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.