LANDS END DENTAL
NPI 1275358129
Clinic/Center - Dental in San Francisco, CA

Active since November 16, 2024
6332 GEARY BLVD, SAN FRANCISCO, CA 94121(415) 668-0680 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2025, Nov 16, 2024 (2 updates tracked since 2024).

  • Organization
  • Clinic/Center
  • Dental

About LANDS END DENTAL

This page provides the complete NPI Profile along with additional information for Lands End Dental, a provider established in San Francisco, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1275358129 assigned on November 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lands End Dental. The authorized official of this NPI record is Dr. Rosa Mathai Dmd (Dentist)

NPI
1275358129 Verify this NPI
Provider Legal Name
ROSA MATHAI DMD, INC
Other Organization Name
LANDS END DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6332 GEARY BLVD SAN FRANCISCO, CA 94121
Location Phone
(415) 668-0680
Mailing Address
6332 GEARY BLVD SAN FRANCISCO, CA 94121
Mailing Phone
(415) 668-0680
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2024
Last Update Date
01-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROSA MATHAI DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(415) 668-0680

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
62602OTHER (01)CADENTAL LICENSE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
6332 GEARY BLVD
SAN FRANCISCO, CA 94121
Dentist (General Practice)
6332 GEARY BLVD
SAN FRANCISCO, CA 94121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275358129, enumerated as an "organization" on November 16, 2024.

The provider is located at 6332 GEARY BLVD SAN FRANCISCO, CA 94121 and the phone number is (415) 668-0680.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.