Organization Active NPI

Randall T Hayashi DDS Inc

Doing business as Hayashi Dental Group of Stockton

  • Dentist
  • Stockton, CA
National Provider Identifier
1548692205
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36765 Issued in CA
Legal business name
RANDALL T HAYASHI DDS INC
Doing business as
Hayashi Dental Group of Stockton
Practice address
1036 W Robinhood Dr
Suite 104
Stockton, CA 95207-5623
Phone
(209) 956-9650
Fax
(209) 956-9655
NPI assigned
Aug 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Randall T Hayashi, DDS
Title
President
Phone
(209) 604-5666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 36765 CA Primary

Addresses

Primary practice location

1036 W Robinhood Dr
Suite 104
Stockton, CA 95207-5623

Mailing address

1036 W Robinhood
Suite 104
Stockton, CA 95207-5622
Phone (209) 956-9650

Other names 1

  • Hayashi Dental Group of Stockton Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1548692205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 W ROBINHOOD",
            "address_2": "SUITE 104",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075622",
            "telephone_number": "209-956-9650",
            "fax_number": "209-956-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W ROBINHOOD DR",
            "address_2": "SUITE 104",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075623",
            "telephone_number": "209-956-9650",
            "fax_number": "209-956-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL T HAYASHI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-604-5666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayashi Dental Group of Stockton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.