Organization Active NPI

Magic Tooth Bus

  • Public Health Dentistry
  • San Francisco, CA
National Provider Identifier
1629764220
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
MAGIC TOOTH BUS
Practice address
39 Treasure Island Rd Ste 206
San Francisco, CA 94130-1214
Phone
(415) 580-2602
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Ma Kriselda Nery Sayoc, DMD
Title
Dentist/ Board Member
Phone
(520) 873-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

39 Treasure Island Rd Ste 206
San Francisco, CA 94130-1214

Mailing address

39 Treasure Island Rd Ste 206
San Francisco, CA 94130-1214
Phone (415) 580-2602

National Provider Directory

National Provider Directory

Locations

1 Avenue of the Palms Ave
Ste 206
San Francisco, CA 94130
Phone (415) 580-2602

Practitioners & affiliated clinicians

Practitioners 1

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": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1629764220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TREASURE ISLAND RD STE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941301214",
            "telephone_number": "415-580-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TREASURE ISLAND RD STE 206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941301214",
            "telephone_number": "415-580-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC TOOTH BUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "SAYOC",
        "authorized_official_first_name": "MA KRISELDA",
        "authorized_official_middle_name": "NERY",
        "authorized_official_title_or_position": "DENTIST/ BOARD MEMBER",
        "authorized_official_telephone_number": "520-873-8657",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2026; 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.