Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jordan Boehlke
Dentist in Waukesha, WI · enumerated 2024.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1770322026
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Registry record
Entity type Individual (Type 1)
Name Jordan Boehlke
Sex Male
Practice address 1700 Coral Dr, Waukesha, WI, 53186
Phone (262) 650-3000
Enumeration date May 24, 2024
Last updated in NPPES Jan 24, 2025
Taxonomy & licenses
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Jordan Boehlke?
Jordan Boehlke is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Badger Medical Group S.C. Urgent Care Clinic/Center · Waukesha, WI NPI 1902215189 Proven Dental LLC Dental Clinic/Center · Waukesha, WI NPI 1477952687 Keystone Waukesha LLC Dental Clinic/Center · Waukesha, WI NPI 1124868575 Nathaniel Shin Student in an Organized Health Care Education/Training Program · Waukesha, WI NPI 1659214831
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-24.