Organization Active NPI

Hayashi Dental Corporation

  • Dentist
  • Lodi, CA
National Provider Identifier
1790117844
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36765 Issued in CA
Legal business name
HAYASHI DENTAL CORPORATION
Practice address
531 W Kettleman LN
Lodi, CA 95240-6005
Phone
(209) 366-1850
Fax
(209) 333-1879
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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

531 W Kettleman LN
Lodi, CA 95240-6005

Mailing address

531 W Kettleman LN
Lodi, CA 95240-6005
Phone (209) 366-1850

National Provider Directory

National Provider Directory

Locations

531 W Kettleman Ln
Lodi, CA 95240
Phone (209) 334-2841

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1790117844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406005",
            "telephone_number": "209-366-1850",
            "fax_number": "209-333-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406005",
            "telephone_number": "209-366-1850",
            "fax_number": "209-333-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYASHI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "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": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.