Shayd Thomas Nobuo Shinsato, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2858 Issued in HI

Practice address

5935 SE Alexander St
Hillsboro, OR 97123-8575

Phone

(855) 433-6825

NPI assigned

Jul 15, 2020

Sex

Male

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 OR

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

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1215545256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-538-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 SE ALEXANDER ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238575",
            "telephone_number": "855-433-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Queen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144130",
            "country_code": "US",
            "telephone_number": "808-538-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINSATO",
        "first_name": "SHAYD",
        "middle_name": "THOMAS NOBUO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miho Shimba
• Haley Shimko, B.A.
• Heamin T Shin
• Maria Liotta Shindler, MSN
• Brodie Nicholas Shinn, LMT
• Phoebe Catharine Shochat, L.M.T
• Yatin J Shukla, PHD RPH
• Rooberraa Shupharee
• Bethany Siarot
• Daniel Sias

• General Practice Dentistry in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.