Active NPI
Randall Toyson Hayashi, D.D.S
- Dentist
- Stockton, CA
National Provider Identifier
1598863961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36765
- Practice address
- 1036 W Robinhood Dr Ste 104
Stockton, CA 95207-5622 - Phone
- (209) 956-9650
- Fax
- (209) 956-9655
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36765 | CA | Primary |
Addresses
Primary practice location
1036 W Robinhood Dr Ste 104
Stockton, CA 95207-5622
Mailing address
1036 W Robinhood Dr Ste 104
Stockton, CA 95207-5622
Phone (209) 956-9650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150803002959 | CA | Order and Referring Only - Dentist | 5698087476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36765 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.T. Hayashi, DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Modern Dental Health
- Health Maintenance Organization
- Carmichael, CA
- NPI 1134465651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1598863961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 W ROBINHOOD DR STE 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 STE 104",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075622",
"telephone_number": "209-956-9650",
"fax_number": "209-956-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYASHI",
"first_name": "RANDALL",
"middle_name": "TOYSON",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.