Organization Active NPI

Baysac Dental Group San Francisco 133 Kearny PC

  • Dental Clinic/Center
  • San Francisco, CA
National Provider Identifier
1467187583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAYSAC DENTAL GROUP SAN FRANCISCO 133 KEARNY PC
Doing business as
Kearny Dental Arts and Aesthetics
Practice address
133 Kearny St Ste 301
San Francisco, CA 94108-4811
Phone
(415) 989-3648
Fax
(415) 989-3648
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mary Anne Baysac, DDS
Title
Owner/Dentist
Phone
(415) 989-3648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

133 Kearny St Ste 301
San Francisco, CA 94108-4811

Mailing address

133 Kearny St Ste 301
San Francisco, CA 94108-4811
Phone (415) 989-3648

Other names 1

  • Kearny Dental Arts and Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

133 Kearny St
Ste 301
San Francisco, CA 94108
Phone (415) 989-3648

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467187583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 KEARNY ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084811",
            "telephone_number": "415-989-3648",
            "fax_number": "415-989-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KEARNY ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084811",
            "telephone_number": "415-989-3648",
            "fax_number": "415-989-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSAC DENTAL GROUP SAN FRANCISCO 133 KEARNY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAYSAC",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "415-989-3648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearny Dental Arts and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.