Individual provider Active NPI

Laurelyn Borst, RDH

  • Dental Hygienist
  • San Francisco, CA
National Provider Identifier
1588879688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H2463 Issued in CA
Practice address
2001 Union St
Suite 385
San Francisco, CA 94123-4114
Phone
(415) 441-9760
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H2463 CA Primary

Addresses

Primary practice location

2001 Union St
Suite 385
San Francisco, CA 94123-4114

Mailing address

820 Mission Ave Apt 1
San Rafael, CA 94901-3250
Phone (415) 457-1397

Other identifiers 3

IdentifierTypeStateIssuer
133069OtherCADELTA DENTAL LICENSE NO.
H2463OtherCARDH LICENSE #
H02463OtherCAMEDICAL PROVIDER NUMBER

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

LicenseStateTypeSpecialty
H2463CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588879688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MISSION AVE APT 1",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013250",
            "telephone_number": "415-457-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST",
            "address_2": "SUITE 385",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234114",
            "telephone_number": "415-441-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "LAURELYN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "H2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL LICENSE NO.",
            "identifier": "133069",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH LICENSE #",
            "identifier": "H2463",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "H02463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.