Keith Y. Shimamoto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23561 Issued in CA

Practice address

17705 Hale Ave
Suite #E3
Morgan Hill, CA 95037-4340

Phone

(408) 778-3015

Fax

(408) 778-8407

NPI assigned

Jul 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1023022142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE",
            "address_2": "SUITE #E3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-3015",
            "fax_number": "408-778-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE",
            "address_2": "SUITE #E3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-3015",
            "fax_number": "408-778-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAMOTO",
        "first_name": "KEITH",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devang S Shah, M.D.
• Nimisha H Shah, M.D.
• Resha Navin Shah, DDS
• Roshni Shah
• Darlene Ann Shimamoto, D.D.S.
• Kirk Yotaro Shimamoto, D.D.S.
• Lourdes Cosido Shinn
• Shiva Mohtashami MD PC
• Stephanie Sereda Short, R.D.H
• Angel Sicam, PT, DPT

• General Practice Dentistry in Morgan Hill, CA
• Providers in Morgan Hill, 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 Jan 29, 2014; 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.