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DR. SHAWN C BOEHM DDS,MD
NPI 1902397250
Dentist in St Joseph, MO

Active since May 22, 2018PECOS Enrolled
3109 FREDERICK AVENUE, SUITE A, ST JOSEPH, MO 64506(816) 364-4774(816) 364-4373 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, May 14, 2019, Jul 3, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Shawn C Boehm Dds,md NPPES

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

DR. SHAWN C BOEHM DDS,MD (NPI 1902397250) is an individual dentist in St Joseph, Missouri, licensed in Missouri (2018019668) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902397250
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHAWN C BOEHMCredential: DDS,MD
Location Address3109 FREDERICK AVENUE, SUITE ASt Joseph, MO 64506
Mailing Address3109 Frederick Avenue, Suite ASt Joseph, MO 64506 · (816) 364-4774 · Fax (816) 364-4373
Phone(816) 364-4774
Fax(816) 364-4373
Sole ProprietorYes
Enumeration DateMay 22, 2018
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1902397250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2018019668
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3109 FREDERICK AVENUE, St Joseph, MO 64506
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Other Identifiers 1

Medicaid400056658MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Shawn C Boehm Dds,md 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 64506 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 Shawn Boehm's NPI number?

The NPI number for Shawn Boehm is 1902397250. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Shawn Boehm located?

Shawn Boehm practices at 3109 Frederick Avenue Suite A, St Joseph, MO 64506. The listed phone number is (816) 364-4774.

What is Shawn Boehm's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shawn Boehm enrolled in Medicare?

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

What insurance does Shawn Boehm accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Shawn Boehm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Boehm was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.