Active NPI
R.T. Hayashi, DDS, Inc.
- Health Maintenance Organization
- Carmichael, CA
National Provider Identifier
1134465651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 36765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall T Hayashi, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598867396 | Medicaid | CA |
Other names 1
- Modern Dental Health
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Stockton, CA
- NPI 1598863961
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
- David Quan
- Queen Ann'S Lace Holdings, LLC
- Charito Quijano, PHYSICAL THERAPIST
- Linda Anne Quimby, C.A.D.C. II
- Ghayyur A Qureshi, M.D.
- Alan Z.R. Rabe, D.D.S.
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group
- Radiological Associates of Sacramento Medical Group Inc
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.