Hayward Smiles, Practice of Medynski Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

62093 Issued in CA

Legal business name

HAYWARD SMILES, PRACTICE OF MEDYNSKI DENTAL CORP

Practice address

27171 Calaroga Ave Ste 11
Hayward, CA 94545-4344

Phone

(510) 264-2000

Fax

(510) 264-2005

NPI assigned

Aug 24, 2017

Last updated

Jul 21, 2022By 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

Denielle Medynski, DMD

Title

Owner

Phone

(510) 264-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pouran Dokht Abbaszadeh, D.D.S.

  • General Practice Dentistry
  • Hayward, CA
  • NPI 1124178140
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891212403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE STE 11",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-264-2000",
            "fax_number": "510-264-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27171 CALAROGA AVE STE 11",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454344",
            "telephone_number": "510-264-2000",
            "fax_number": "510-264-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD SMILES, PRACTICE OF MEDYNSKI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDYNSKI",
        "authorized_official_first_name": "DENIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-264-2000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayward Pediatric Medical Clinic
• Hayward Sisters Hospital (St. Rose Hospital-Silva Pediatric Dental Clinic)
• Hayward Sisters Hospital (St, Rose Hospital - DP SNF/Sub-Acute)
• Hayward Sisters Hospital (St Rose Hospital Skilled Nursing Facility)
• Hayward Sisters Hospital (St. Rose Hospital)
• Hayward SNF Healthcare, LLC (Hayward Gardens Post Acute)
• Hayward Twin Oaks Montessori
• Hayward Unified School District
• HCRC,Inc
• Mia Headlee

• Dental Clinic/Center in Hayward, CA
• Providers in Hayward, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.