Organization Active NPI

J. Mark Bayless, DMD, Inc.

  • Pediatric Dentistry
  • Monterey, CA
National Provider Identifier
1851402945
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
31564 Issued in CA
Legal business name
J. MARK BAYLESS, DMD, INC.
Practice address
333 El Dorado St
Monterey, CA 93940-4606
Phone
(831) 375-9232
Fax
(831) 655-6434
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
John Mark Bayless, DMD
Title
Owner
Phone
(831) 375-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 31564 CA Primary

Addresses

Primary practice location

333 El Dorado St
Monterey, CA 93940-4606

Mailing address

333 El Dorado St
Monterey, CA 93940-4606
Phone (831) 375-9232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1851402945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-375-9232",
            "fax_number": "831-655-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL DORADO ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404606",
            "telephone_number": "831-375-9232",
            "fax_number": "831-655-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MARK BAYLESS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-375-9232",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "31564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.