Active NPI
Laurelyn Borst, RDH
- Dental Hygienist
- San Francisco, CA
National Provider Identifier
1588879688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H2463
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133069 | Other | CA | DELTA DENTAL LICENSE NO. |
| H2463 | Other | CA | RDH LICENSE # |
| H02463 | Other | CA | MEDICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| H2463 | CA | MD | Dental 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.