Individual provider Active NPI

Randall Toyson Hayashi, D.D.S

  • Dentist
  • Stockton, CA
National Provider Identifier
1598863961
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36765 Issued in CA
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

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002959 CA Order and Referring Only - DentistPractitioner - Dentist 5698087476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36765CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
R.T. Hayashi, DDS, Inc. PastSince Nov 7, 2012 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.

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

Verify at the official NPI Registry.