Boero & Pieri DDS a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

219797 Issued in CA

Legal business name

BOERO & PIERI DDS A DENTAL CORPORATION

Practice address

908 E Street
San Rafael, CA 94901

Phone

(415) 454-8640

Fax

(415) 457-3241

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary G Boero, DDS

Title

Owner

Phone

(415) 454-8640

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth W. Pieri, DDS

  • Dentist
  • San Rafael, CA
  • NPI 1437372935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063572261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E STREET",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-8640",
            "fax_number": "415-457-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E STREET",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-8640",
            "fax_number": "415-457-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERO & PIERI DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOERO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-454-8640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "18450",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "219797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kay Blunt
• Lauren Bocca
• Sarah Bode
• Susan Marie Bodo, RN
• Bodywise Massage Inc.
• Roger P. Boero, DDS, MSD
• Dawn Boggs
• Quinn Albert Edminster Bohner
• Katherine Bojarski-Rapp, PTA
• Tamara Bolinger, R.N.

• Dentist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.