OROFACIAL FITNESS
NPI 1962035261
Specialist in Lafayette, CA

Active since February 15, 2020
3799 MT DIABLO BLVD UNIT 200, LAFAYETTE, CA 94549(925) 962-7450 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2022, Feb 15, 2020 (2 updates tracked since 2020).

About Orofacial Fitness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OROFACIAL FITNESS (NPI 1962035261) is a healthcare organization registered as a specialist in Lafayette, California and active in the NPI registry since February 2020. The organization lists Nerissa T Boggan, Rdh, as its authorized official.

NPPES Registry Identity

NPI1962035261
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameICBOGGAN, INC
Location Address3799 MT DIABLO BLVD UNIT 200Lafayette, CA 94549-3545
Mailing Address3799 Mt Diablo Blvd Ste 200Lafayette, CA 94549-3545 · (925) 962-7450
Organization SubpartNo
Authorized OfficialNerissa T BogganRdh · (925) 962-7450
Enumeration DateFebruary 15, 2020
Last NPPES UpdateJuly 24, 20222 updates tracked since enumeration
NPPES CertifiedJuly 24, 2022
NPI 1962035261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDental HygienistTaxonomy 124Q00000X
3799 MT DIABLO BLVD UNIT 200, Lafayette, CA 94549

Other Names 2

Doing Business AsOrofacial Fitness
Doing Business AsNerissa T. Boggan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icboggan, Inc's NPI number?

The NPI number for Icboggan, Inc is 1962035261. It was assigned to this organization in the NPPES registry on February 15, 2020. The provider is doing business as Orofacial Fitness and Nerissa T. Boggan.

Where is Icboggan, Inc located?

Icboggan, Inc is located at 3799 Mt Diablo Blvd Unit 200, Lafayette, CA 94549. The listed phone number is (925) 962-7450.

What is Icboggan, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Icboggan, Inc was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.