1. Home
  2. Directory
  3. California
  4. Pomona
  5. Dentist
  6. NPI Profile

DR. TOBIAS KONRAD BOEHM D.D.S, PH.D.
NPI 1235469529
Dentist - Periodontics in Pomona, CA

Active since January 08, 2010PECOS Enrolled
795 E SECOND STREET, SUITE 8, POMONA, CA 91766(909) 706-3910(909) 469-8650 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 23, 2018, May 18, 2018 (2 updates tracked since 2018).

About Dr. Tobias Konrad Boehm D.d.s, Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOBIAS KONRAD BOEHM D.D.S, PH.D. (NPI 1235469529) is an individual periodontics provider in Pomona, California, licensed in California (59807) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235469529
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TOBIAS KONRAD BOEHMCredential: D.D.S, PH.D.
Location Address795 E SECOND STREET, SUITE 8Pomona, CA 91766-2007
Mailing Address309 E Second St, College Of Dental Medicine / Western UniversityPomona, CA 91766-1854 · (909) 706-3831 · Fax (909) 706-3800
Phone(909) 706-3910
Fax(909) 469-8650
Sole ProprietorNo
Enumeration DateJanuary 8, 2010
Last NPPES UpdateMay 23, 20182 updates tracked since enumeration
✔ NPI 1235469529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in CA · 59807✔ Licensed in NY · 053283-1
Definition
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.
795 E SECOND STREET, Pomona, CA 91766
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tobias Konrad Boehm D.d.s, Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALY M FAHIM O.D
Optometrist
795 E SECOND STREET, SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
DR. DAVID LEROY REDDING DO
Neuromusculoskeletal Medicine, Sports Medicine
795 E SECOND STREET, SUITE 5
POMONA, CA 91766
Los Angeles County (909) 865-2565
DR. MARCEL P FRAIX D.O
Physical Medicine & Rehabilitation
795 E SECOND STREET, SUITE 5
POMONA, CA 91766
Los Angeles County (909) 865-2565
ROBIN J DRESCHER OD
Optometrist
795 E SECOND STREET, SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
IDA CHUNG O.D.
Optometrist
795 E SECOND STREET, SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
DR. LINDA LUONG BELLOMY O.D.
Optometrist
795 E SECOND STREET, SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899
WESTERN UNIVERSITY OF HEALTH SCIENCES
Family Medicine
795 E SECOND STREET, SUITE 5
POMONA, CA 91766
Los Angeles County (909) 865-2565
DORCAS TSANG O.D.
Optometrist
795 E SECOND STREET, SUITE 2
POMONA, CA 91766
Los Angeles County (909) 706-3899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tobias Boehm's NPI number?

The NPI number for Tobias Boehm is 1235469529. It was assigned to this individual provider in the NPPES registry on January 8, 2010.

Where is Tobias Boehm located?

Tobias Boehm practices at 795 E Second Street Suite 8, Pomona, CA 91766. The listed phone number is (909) 706-3910.

What is Tobias Boehm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Tobias Boehm enrolled in Medicare?

Yes. Tobias Boehm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tobias Boehm was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.