Rosa Mathai DMD, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROSA MATHAI DMD, INC

Practice address

6332 Geary Blvd
San Francisco, CA 94121-1824

Phone

(415) 668-0680

NPI assigned

Nov 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rosa Mathai, DMDNPI 1194082750

Title

Dentist

Phone

(415) 668-0680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lands End Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosa Mathai, DMD

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1194082750
  NPD Authorized official
• Kristen Kemmer, DDS

  • Dentist
  • Grand Rapids, MI
  • NPI 1457735482
  NPD (past)

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1275358129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211824",
            "telephone_number": "415-668-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211824",
            "telephone_number": "415-668-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA MATHAI DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-668-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "62602",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lands End Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lands End Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coral Nicole Roper, NP
• Annelys Roque Gardner
• Christopher Matic Roque, LCSW
• Florian Eric Roquet, MD
• Rori ABA Care LLC
• Jayson Cardenas Rosa, MSN/RN
• Monica Rosa
• Tamara Rosales-Escobar
• Aileen Daniela Rosales-Estrada
• Israel Benjamin Rosales, PH.D.

• 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 Jan 8, 2025; 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.