BOEHM DENTAL SPECIALISTS PC
NPI 1174417935
Dentist - Periodontics in Fontana, CA

NPI Status: Active since June 05, 2025

Contact Information

16465 SIERRA LAKES PKWY STE 230
FONTANA, CA
ZIP 92336
Phone: (909) 775-1200

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  • Organization
  • Dentist
  • Periodontics

About BOEHM DENTAL SPECIALISTS PC

This page provides the complete NPI Profile along with additional information for Boehm Dental Specialists Pc, a provider established in Fontana, California operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1174417935 assigned on June 2025. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Tobias K Boehm Dds (Owner Dentist)

NPI
1174417935
Provider Name
BOEHM DENTAL SPECIALISTS PC
Entity Type
Organization
Location Address
16465 SIERRA LAKES PKWY STE 230 FONTANA, CA 92336
Location Phone
(909) 775-1200
Mailing Address
16465 SIERRA LAKES PKWY STE 230 FONTANA, CA 92336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2025
Last Update Date
06-05-2025
Code Navigator

A dentist like Boehm Dental Specialists Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TOBIAS K BOEHM DDS

Authorized Official Title
OWNER DENTIST
Authorized Official Phone
(909) 740-4476

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174417935, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 4 → 8 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 8 + 1 + 1 + 4 + 9 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1174417935.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174417935, enumerated as an "organization" on June 05, 2025.

The provider is located at 16465 SIERRA LAKES PKWY STE 230 FONTANA, CA 92336 and the phone number is (909) 775-1200.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.