MODERN DENTAL HEALTH
NPI 1134465651
Health Maintenance Organization in Carmichael, CA

NPI Status: Active since January 03, 2013

Contact Information

5723 MARCONI AVE
SUITE A
CARMICHAEL, CA
ZIP 95608
Phone: (916) 489-9990
Fax: (916) 489-9998

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About MODERN DENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Modern Dental Health, a provider established in Carmichael, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1134465651 assigned on January 2013. The practitioner's primary taxonomy code is 302R00000X with license number 36765 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Modern Dental Health. The authorized official of this NPI record is Dr. Randall T Hayashi Dds (Ceo)

NPI
1134465651
Provider Legal Name
R.T. HAYASHI, DDS, INC.
Other Organization Name
MODERN DENTAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5723 MARCONI AVE SUITE A CARMICHAEL, CA 95608
Location Phone
(916) 489-9990
Location Fax
(916) 489-9998
Mailing Address
5723 MARCONI AVE SUITE A CARMICHAEL, CA 95608
Mailing Phone
(916) 489-9990
Mailing Fax
(916) 489-9998
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2013
Last Update Date
02-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
36765
License State
CA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RANDALL T HAYASHI DDS

Authorized Official Title
CEO
Authorized Official Phone
(916) 489-9990

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1598867396MEDICAID (05)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134465651, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 8 + 6 + 1 + 0 + 6 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134465651.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134465651, enumerated as an "organization" on January 03, 2013.

The provider is located at 5723 MARCONI AVE SUITE A CARMICHAEL, CA 95608 and the phone number is (916) 489-9990.

Health Maintenance Organization with taxonomy code 302R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.