Individual provider Active NPI

Katherine Roxas Panopio, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1740918465
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107673 Issued in CA
Practice address
4200 California St Ste 210
San Francisco, CA 94118-1367
Phone
(415) 668-0526
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107673 CA Primary

Addresses

Primary practice location

4200 California St Ste 210
San Francisco, CA 94118-1367

Mailing address

201 Lakeshore Dr
San Francisco, CA 94132-1119
Phone (650) 892-6825

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107673CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Minjae Kim DMD, Inc. PastSince Oct 5, 2025 Accepting new patients
Baysac Dental Group San Francisco 133 Kearny PC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1740918465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAKESHORE DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321119",
            "telephone_number": "650-892-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CALIFORNIA ST STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181367",
            "telephone_number": "415-668-0526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Kearny St Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084811",
            "country_code": "US",
            "telephone_number": "415-989-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOPIO",
        "first_name": "KATHERINE",
        "middle_name": "ROXAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107673",
            "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 Aug 10, 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.