Organization Active NPI

Hayward Dentistry Inc

  • Dentist
  • Hayward, CA
National Provider Identifier
1043615016
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53036 Issued in CA
Legal business name
HAYWARD DENTISTRY INC
Practice address
32315 Mission Blvd
Hayward, CA 94544-8258
Phone
(510) 475-0999
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Rick Van Tran, DDS
Title
President/Dentist
Phone
(510) 475-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53036 CA Primary

Addresses

Primary practice location

32315 Mission Blvd
Hayward, CA 94544-8258

Mailing address

32315 Mission Blvd
Hayward, CA 94544-8258
Phone (510) 475-0999

Other names 1

  • Hayward Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1043615016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32315 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945448258",
            "telephone_number": "510-475-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32315 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945448258",
            "telephone_number": "510-475-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "510-475-0999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayward Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.