Active NPI
Jonathan Nobuhiro Hayashi, DDS
- Pediatric Dentistry
- Aston, PA
National Provider Identifier
1366619033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS031624L
- Practice address
- 2901 Dutton Mill Road
Aston, PA 19014 - Phone
- (610) 485-9977
- NPI assigned
- May 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02129900 | NJ | |
| General Practice Dentistry | 1223G0001X | DS031624L | PA | |
| Pediatric Dentistry | 1223P0221X | DS031624L | PA | Primary |
Addresses
Primary practice location
2901 Dutton Mill Road
Aston, PA 19014
Mailing address
832 N 3Rd St
Apt 10
Philadelphia, PA 19123
Phone (215) 563-6750
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02129900 | NJ | MD | General Practice Dentistry |
| DS031624L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1366619033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 N 3RD ST",
"address_2": "APT 10",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19123",
"telephone_number": "215-563-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 DUTTON MILL ROAD",
"city": "ASTON",
"state": "PA",
"postal_code": "19014",
"telephone_number": "610-485-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYASHI",
"first_name": "JONATHAN",
"middle_name": "NOBUHIRO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-13",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02129900",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS031624L",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS031624L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.