Nishimura Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46624 Issued in CA

Legal business name

NISHIMURA DENTAL GROUP

Practice address

1198 Meridian Ave Ste B
San Jose, CA 95125-4326

Phone

(408) 265-5700

Fax

(408) 265-5703

NPI assigned

Jul 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany L Kitamura, D.D.S.NPI 1508917469

Title

President

Phone

(408) 265-5700

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany L Kitamura, D.D.S

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1508917469
  NPD (past) Authorized official

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1114126778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 MERIDIAN AVENUE, SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95125",
            "telephone_number": "408-265-5700",
            "fax_number": "408-265-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 MERIDIAN AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254326",
            "telephone_number": "408-265-5700",
            "fax_number": "408-265-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHIMURA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "KITAMURA",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-265-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46624",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erna O. Nishime, MD
• Joy Nishime, MD
• Robert S Nishime, MD
• Derek Yutaka Nishimori, D.D.S.
• Dick Mitsuru Nishimoto, DR. OF PHARM.
• Mark M. Nishimura, DDS
• Midori Nishimura, M.D.
• Seijiro Nishina, PSY.D/LMFT
• Nisma Rayan
• Kirsi Niva

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Jul 13, 2007; 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.