Mission Bay Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MISSION BAY DENTAL

Practice address

1200 4TH St Ste C
San Francisco, CA 94158-2425

Phone

(415) 523-4939

NPI assigned

Sep 23, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jane Choi, DDSNPI 1407171051

Title

Co-Owner

Phone

(919) 633-8069

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jane Y Choi, DDS

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1407171051
  NPD Authorized official

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1720759244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 4TH ST STE C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 4TH ST STE C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582425",
            "telephone_number": "415-523-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION BAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-633-8069",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Area Health Associates Inc. (Mission Neighborhood Resource Center)
• Mission Area Health Associates Inc. (Mission Neighborhood Health Center-Valencia Clinic)
• Mission Area Health Associates Inc. (Mission Neighborhood Health Center-Excelsior Clinic)
• Mission Area Health Associates Inc. (Mission Neighborhood Health Center)
• Mission Area Health Associates, Inc (Mission Neigborhood Health Center)
• Mission Council (Family Day Treatment and Aftercare)
• Mission Council Family Day Treatment and Aftercare Program
• Mission Council on Alcohol Abuse for the Spanish Speaking
• Mission Council. Inc.
• Mission District Physical Therapy & Rehabilitation

• 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 Sep 23, 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.

Verify at the official NPI Registry.