R.T. Hayashi, DDS, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

36765 Issued in CA

Legal business name

R.T. HAYASHI, DDS, INC.

Doing business as

Family Dental Specialty Group

Practice address

3428 Watt Ave # B
Sacramento, CA 95821-3613

Phone

(916) 485-1555

Fax

(916) 481-7111

NPI assigned

Jan 3, 2013

Last updated

Jan 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randall T Hayashi, DDS

Title

Ceo

Phone

(916) 485-1555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Dental Specialty Group Doing business as

Locations

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1558608091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 WATT AVE # B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213613",
            "telephone_number": "916-485-1555",
            "fax_number": "916-481-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 WATT AVE # B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213613",
            "telephone_number": "916-485-1555",
            "fax_number": "916-481-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.T. HAYASHI, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-485-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "36765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159886396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• George T. Rab, MD
• David Rabago, D.C.
• Rola Rabah, DDS, MD

• Health Maintenance Organization in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.