Active NPI
Shannon Miyuki Hayashibara, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Livermore, CA
National Provider Identifier
1063809804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 63744
- Practice address
- 2177 Las Positas CT
Suite E
Livermore, CA 94551-8872 - Phone
- (360) 951-3378
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 63744 | CA | Primary |
Addresses
Primary practice location
2177 Las Positas CT
Suite E
Livermore, CA 94551-8872
Mailing address
2177 Las Positas CT
Suite E
Livermore, CA 94551-8872
Phone (360) 951-3378
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63744 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1063809804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 LAS POSITAS CT",
"address_2": "SUITE E",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945518872",
"telephone_number": "360-951-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 LAS POSITAS CT",
"address_2": "SUITE E",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945518872",
"telephone_number": "360-951-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYASHIBARA",
"first_name": "SHANNON",
"middle_name": "MIYUKI",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "63744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.