Active NPI
N Michelle Borg, DDS
- General Practice Dentistry
- Chico, CA
National Provider Identifier
1043363625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35329
- Practice address
- 111 Raley Blvd
Suite 260
Chico, CA 95928-8351 - Phone
- (530) 342-0104
- Fax
- (530) 342-8009
- NPI assigned
- Jan 18, 2007
- Reactivated
- Mar 23, 2012
- Last updated
- Mar 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35329 | CA | Primary |
Addresses
Primary practice location
111 Raley Blvd
Suite 260
Chico, CA 95928-8351
Mailing address
111 Raley Blvd
Suite 260
Chico, CA 95928-8351
Phone (530) 342-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35329 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suk Young Ahn DDS Inc | Past | Accepting new patients | |
| N.Michelle Borg DDS, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Chico, CA
- NPI 1932241098
-
- Dentist
- Chico, CA
- NPI 1518344175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1043363625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RALEY BLVD",
"address_2": "SUITE 260",
"city": "CHICO",
"state": "CA",
"postal_code": "959288351",
"telephone_number": "530-342-0104",
"fax_number": "530-342-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RALEY BLVD",
"address_2": "SUITE 260",
"city": "CHICO",
"state": "CA",
"postal_code": "959288351",
"telephone_number": "530-342-0104",
"fax_number": "530-342-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORG",
"first_name": "N",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2012-03-23",
"deactivation_date": "2007-03-12",
"reactivation_date": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "35329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.