Individual provider Active NPI

Patrick C Hayashi, D.D.S.

  • General Practice Dentistry
  • Honolulu, HI
National Provider Identifier
1346218864
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1514 Issued in HI
Practice address
1144 12TH Ave
Honolulu, HI 96816-3712
Phone
(808) 737-3311
Fax
(808) 737-3331
NPI assigned
Mar 10, 2006
Last updated
Nov 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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 1514 HI Primary

Addresses

Primary practice location

1144 12TH Ave
Honolulu, HI 96816-3712

Mailing address

1144 12TH Ave
Honolulu, HI 96816-3712
Phone (808) 737-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20160329001881 HI Order and Referring Only - DentistPractitioner - Dentist 6507187705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
12TH Avenue Dental Centre, LLC CurrentSince Jan 1, 1990 Accepting new patients
12TH Avenue Dental Centre LLC General Practice Past Accepting new patients

Locations

1144 12th Ave
Honolulu, HI 96816
Phone (808) 737-3311

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1346218864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 12TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163712",
            "telephone_number": "808-737-3311",
            "fax_number": "808-737-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 12TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163712",
            "telephone_number": "808-737-3311",
            "fax_number": "808-737-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI",
        "first_name": "PATRICK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.