Individual provider Active NPI

Garrett Tateo Hayashi, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1174742670
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-1834 Issued in HI
Practice address
1003 Bishop St Ste 393
Honolulu, HI 96813-6409
Phone
(808) 536-5090
Fax
(808) 526-1053
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DT-1834 HI Primary

Addresses

Primary practice location

1003 Bishop St Ste 393
Honolulu, HI 96813-6409

Mailing address

1003 Bishop St Ste 393
Honolulu, HI 96813-6409
Phone (808) 536-5090

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

LicenseStateTypeSpecialty
DT-1834HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jy Dental LLC PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1174742670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 393",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136409",
            "telephone_number": "808-536-5090",
            "fax_number": "808-526-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 393",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136409",
            "telephone_number": "808-536-5090",
            "fax_number": "808-526-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "GARRETT",
        "middle_name": "TATEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.