Individual provider Active NPI

Arthur K. Hayashi, D.D.S.

  • General Practice Dentistry
  • Watsonville, CA
National Provider Identifier
1194867762
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22896 Issued in CA
Practice address
64 Penny LN
Suite C
Watsonville, CA 95076-6021
Phone
(831) 728-2096
Fax
(831) 728-2143
NPI assigned
Feb 12, 2007
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 22896 CA Primary

Addresses

Primary practice location

64 Penny LN
Suite C
Watsonville, CA 95076-6021

Mailing address

64 Penny LN
Suite C
Watsonville, CA 95076-6021
Phone (831) 728-2096

Other identifiers 1

IdentifierTypeStateIssuer
B 22896-01OtherCADENTI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120002858 CA Order and Referring Only - DentistPractitioner - Dentist 2163725490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22896CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur K. Hayashi,D.D.S.,Inc General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1194867762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PENNY LN",
            "address_2": "SUITE C",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766021",
            "telephone_number": "831-728-2096",
            "fax_number": "831-728-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PENNY LN",
            "address_2": "SUITE C",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766021",
            "telephone_number": "831-728-2096",
            "fax_number": "831-728-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "ARTHUR",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B 22896-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.