OrganizationActive
Icboggan, Inc
NPI 1962035261 · Specialist · Lafayette, CA
Icboggan, Inc is a Specialist organization in Lafayette, CA (NPI 1962035261).
Provider details
- NPI number
- 1962035261
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Nerissa Boggan, Rdh(925) 962-7450
Specialties & taxonomies
Other Service Providers
- Dental Hygienist124Q00000X
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3799 Mt Diablo Blvd Unit 200
Lafayette, CA 94549-3545
Phone: (925) 962-7450
Approximate (ZIP-level) locationGet directions
Mailing address
3799 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3545
Other names (DBA / former)
- Doing business as
- Nerissa T. Boggan
- Doing business as
- Orofacial Fitness
Registry dates
- Enumerated
- 2020-02-15
- Last updated
- 2022-07-24
- Certified
- 2022-07-24
Frequently asked questions
- What is Icboggan, Inc's NPI number?
- Icboggan, Inc's National Provider Identifier (NPI) is 1962035261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icboggan, Inc?
- Icboggan, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Icboggan, Inc located?
- Icboggan, Inc's practice location on file with NPPES is 3799 Mt Diablo Blvd Unit 200, Lafayette, CA 94549-3545.
- What is Icboggan, Inc's phone number?
- The practice phone number listed in the NPPES registry for Icboggan, Inc is (925) 962-7450.
- Who is the authorized official for Icboggan, Inc?
- The authorized official listed on Icboggan, Inc's NPPES record is Nerissa Boggan, Rdh. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icboggan, Inc's NPI active?
- Yes — Icboggan, Inc's NPI (1962035261) is active in the NPPES registry as of the last update on 2022-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.