Individual provider Active NPI

Christine M. Hayashi, DDS,MS

  • Periodontics
  • San Jose, CA
National Provider Identifier
1275680530
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
41262 Issued in CA
Practice address
2000 Forest Ave Ste a
San Jose, CA 95128-4831
Phone
(408) 998-1193
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 41262 CA Primary

Addresses

Primary practice location

2000 Forest Ave Ste a
San Jose, CA 95128-4831

Mailing address

2000 Forest Ave Ste a
San Jose, CA 95128-4831
Phone (408) 998-1193

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41262CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275680530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOREST AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284831",
            "telephone_number": "408-998-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOREST AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284831",
            "telephone_number": "408-998-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "CHRISTINE",
        "middle_name": "M.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "41262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.