Dina Shimoyama

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45014 Issued in CA

Practice address

2800 W Magnolia Blvd
Burbank, CA 91505-3036

Phone

(818) 846-9041

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce S. Dodge, D.M.D., Inc.

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1700296605
  NPD (past)
• Mehrzad Seraji, DDS, Inc.

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1134530488
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1093129272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053036",
            "telephone_number": "818-846-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915053036",
            "telephone_number": "818-846-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMOYAMA",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evgenia Shemonaeva
• Thomasine Shepard, MA
• Yeong an Sheu, M.D.
• Louisa C. Shih, ARNP
• Sayuri Hato Shimasaki, RN
• Raymond Vee Hon Shing, DPT
• William D. Shipman, MD, PHD
• Behzad Shirazi-Ardestani, D.D.S.
• Michael Shirvani, DDS
• Ciara L Shirvanian, M.D..

• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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 Jun 16, 2014; 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.