Active NPI
John Edward Bayless
- Pediatric Dentistry
- Monterey, CA
National Provider Identifier
1013679448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 107074
- Practice address
- 333 El Dorado St
Monterey, CA 93940-4606 - Phone
- (831) 375-9232
- Fax
- (831) 372-0485
- NPI assigned
- Oct 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 107074 | CA | Primary |
Addresses
Primary practice location
333 El Dorado St
Monterey, CA 93940-4606
Mailing address
333 El Dorado St
Monterey, CA 93940-4606
Phone (831) 375-9232
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 |
|---|---|---|---|
| 107074 | CA | MD | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1013679448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404606",
"telephone_number": "831-375-9232",
"fax_number": "831-372-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EL DORADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404606",
"telephone_number": "831-375-9232",
"fax_number": "831-372-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLESS",
"first_name": "JOHN",
"middle_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "107074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.