Richard Kay Hada, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58500 Issued in CA

Practice address

521 E Elder St Ste 203
Fallbrook, CA 92028-3083

Phone

(760) 728-1592

NPI assigned

Aug 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1770715229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 203",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283083",
            "telephone_number": "760-728-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 203",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283083",
            "telephone_number": "760-728-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADA",
        "first_name": "RICHARD",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ruth Green, RN, BSN
• Allison Gregory, PT
• Devany Andrea Guizar-Ramirez
• Corey Gerald Gustafson, D.O.
• H. Ward Brooks, M.D. Apc
• Alydia Han, PPS
• Korrie T Harper
• Thomas J Harpole, MD
• Shiva Hashem, DC
• Kevin Hawkins, AMFT

• General Practice Dentistry in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.

Verify at the official NPI Registry.