Baliwas Miller Dental Partnership

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BALIWAS MILLER DENTAL PARTNERSHIP

Doing business as

450 Dental Aesthetics Group

Practice address

450 Sutter St RM 320
San Francisco, CA 94108-3905

Phone

(415) 398-0411

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Adam Miller

Title

Partner

Phone

(415) 398-0411

Specialties & licenses 1

Addresses

Other names 1

• 450 Dental Aesthetics Group Doing business as

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1265993869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083905",
            "telephone_number": "415-398-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 320",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941083905",
            "telephone_number": "415-398-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALIWAS MILLER DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "415-398-0411"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "450 Dental Aesthetics Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Yee Balido
• Kasey Balin, MFT
• Brandon Balinas
• Christina Marie Balistreri, MFT
• Dana Balitzer, M.D.
• Brian James Malabanan Baliwas, DDS
• Kathleen Balizan, NP
• Austin Walter Balk, NP
• Clarence William Balke, MD
• Angela Rose Ball

• Dental Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.