AUDRA ALEXANDRA BOEHM
NPI 1811452303
Dentist - Oral and Maxillofacial Surgery in Silverdale, WA

Q: What is Audra Boehm's NPI number?

The NPI number for Audra Boehm is 1811452303. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Q: What is Audra Boehm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Audra Boehm was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since February 08, 2019PECOS Enrolled

8745 PACIFIC AVE NW # 102, SILVERDALE, WA 98383(602) 045-1223 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Audra Alexandra Boehm NPPES

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

AUDRA ALEXANDRA BOEHM (NPI 1811452303) is an individual oral and maxillofacial surgery provider in Silverdale, Washington, licensed in Washington (MD61663011) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Dental Medicine (2019).

NPPES Registry Identity

NPI1811452303

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameAUDRA ALEXANDRA BOEHM

Location Address8745 PACIFIC AVE NW # 102Silverdale, WA 98383-8394

Mailing Address8745 Pacific Ave Nw # 102Silverdale, WA 98383-8394 · (602) 045-1223

Phone(602) 045-1223

Sole ProprietorNo

Medical School CMSColumbia University College Of Dental MedicineGraduated 2019

Enumeration DateFebruary 8, 2019

Last NPPES UpdateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1811452303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in WA · MD61663011✔ Licensed in WA · DE61663002

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8745 PACIFIC AVE NW # 102, Silverdale, WA 98383

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)

Audra Alexandra Boehm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577032028

PECOS Enrollment IDI20260514001671

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 98383 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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 Audra Boehm's NPI number?

The NPI number for Audra Boehm is 1811452303. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Audra Boehm located?

Audra Boehm practices at 8745 Pacific Ave NW # 102, Silverdale, WA 98383. The listed phone number is (602) 045-1223.

What is Audra Boehm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Audra Boehm enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Audra Boehm was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.