Boris La Noire

Primary specialty

DentistTaxonomy code 122300000X

License

102327 Issued in CA

Practice address

9130 Alcosta Blvd Ste a
San Ramon, CA 94583-3847

Phone

(925) 230-9414

Fax

(925) 803-2568

NPI assigned

Mar 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boris la Noire DDS Inc

  • Dental Clinic/Center
  • Pleasant Hill, CA
  • NPI 1669074746
  NPD Authorized official

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1982107868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 GENEVA AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 ALCOSTA BLVD STE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833847",
            "telephone_number": "925-230-9414",
            "fax_number": "925-803-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4870 Geneva Ave",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945212227",
            "country_code": "US",
            "telephone_number": "925-708-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA NOIRE",
        "first_name": "BORIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "102327",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kushner III, DDS
• Nerses Kuyumdzhyan
• Sarah Elizabeth Kwee, OTR/L
• Kalvin Kwok
• Ines Kwong
• Gina M La Tulipe, P.T.
• Allyson R Lachman, P.T.
• Pierre Henri Lacrampe, DMD
• Maria Berris Lacuesta, LCSW
• Paul Ladewig

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.