Organization Active NPI

R.T. Hayashi, DDS, Inc.

  • Health Maintenance Organization
  • Carmichael, CA
National Provider Identifier
1134465651
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
36765 Issued in CA
Legal business name
R.T. HAYASHI, DDS, INC.
Practice address
5723 Marconi Ave
Suite a
Carmichael, CA 95608-4475
Phone
(916) 489-9990
Fax
(916) 489-9998
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Randall T Hayashi, DDSNPI 1598863961
Title
Ceo
Phone
(916) 489-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 36765 CA Primary

Addresses

Primary practice location

5723 Marconi Ave
Suite a
Carmichael, CA 95608-4475

Mailing address

5723 Marconi Ave
Suite a
Carmichael, CA 95608-4475
Phone (916) 489-9990

Other identifiers 1

IdentifierTypeStateIssuer
1598867396MedicaidCA

Other names 1

  • Modern Dental Health Doing business as

National Provider Directory

National Provider Directory

Locations

5723 Marconi Ave
Ste A
Carmichael, CA 95608
Phone (916) 489-9990

3428 Watt Ave
Ste A
Sacramento, CA 95821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1134465651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 MARCONI AVE",
            "address_2": "SUITE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084475",
            "telephone_number": "916-489-9990",
            "fax_number": "916-489-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 MARCONI AVE",
            "address_2": "SUITE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084475",
            "telephone_number": "916-489-9990",
            "fax_number": "916-489-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.T. HAYASHI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-489-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "36765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598867396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.