DR. TIMOTHY JOHN BOEHM (NPI# 1508809104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508809104 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN BOEHM |
| Credential | DMD |
| Practice Address |
3000 Market St Ne Salem OR 97301-1882 |
| Mailing Address |
1488 Boulder Creek St Se Salem OR 97301-6958 |
| Practice Telephone | 5035855205 |
| Mailing Telephone | 5039996115 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D5027 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 027914 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629013073 | Timothy M Boehm | Internal Medicine | 10001 Lile Dr, Little Rock, AR 72205-6217 | 2006-06-19 |
| Street Address |
3000 MARKET ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204706 | Continental Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 3000 Market St Ne, Ste 212, Salem, OR 97301-1897 | 2005-06-09 |
| 1477195261 | Christine Elizabeth Kennedy | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2019-10-13 |
| 1033769146 | Kaylee Ann Perlichek | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2019-09-19 |
| 1497205686 | Beacon Youth & Prevention Services | Residential Treatment Facility, Emotionally Disturbed Children | 3000 Market St Ne, Suite 528, Salem, OR 97301-1882 | 2016-10-11 |
| 1912457813 | Andrea Diane Stutzman | Dental Hygienist | 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 | 2016-10-04 |
| 1346799590 | Adrienne Mee | Nurse Practitioner | 3000 Market St Ne, #530, Salem, OR 97301-1882 | 2016-09-29 |
| 1255889333 | Capitol Dental Group | Clinic/Center | 3000 Market St Ne, Suite 228, Salem, OR 97301-1882 | 2016-09-16 |
| 1326498213 | Julie Flager | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2016-06-21 |
| 1427406594 | Kassandra Coleman | Dental Hygienist | 3000 Market St Ne, #228, Salem, OR 97301-1882 | 2016-05-31 |
| 1245609692 | Katie Vasquez | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1407414642 | Selma Moon Pierce | Dentist | 961 Glen Eden Ct Nw, Salem, OR 97304-2258 | 2019-06-03 |
| 1295392926 | Brock Jesse Nelson | Dentist | 631 Jason St Ne Ste 150, Salem, OR 97301-2750 | 2019-05-29 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1437643616 | Idylwood Dental LLC | Dentist | 4392 Liberty Road, Salem, OR 97302-6171 | 2018-06-20 |
| 1619428281 | William D. Bateman, Dmd, LLC | Dentist | 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 | 2016-10-19 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1275960296 | Amy Trevor | Dentist | 1595 Commercial St. Se, Salem, OR 97302 | 2013-10-04 |
| 1558601385 | Crisdental East Salem, LLC | Dentist | 3545 Lancaster Dr Ne, Salem, OR 97305-1435 | 2013-02-14 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.