Active NPI
Sumiko Missimer, D.C.
- Chiropractor
- Sunnyvale, CA
National Provider Identifier
1225351356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-31563
- Practice address
- 1309 S Mary Ave
#230
Sunnyvale, CA 94087-3050 - Phone
- (408) 738-8610
- NPI assigned
- Mar 3, 2010
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-31563 | CA | Primary |
Addresses
Primary practice location
1309 S Mary Ave
#230
Sunnyvale, CA 94087-3050
Mailing address
1078 Heatherstone Way
Sunnyvale, CA 94087-1618
Phone (408) 730-4763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100330000506 | CA | Practitioner - Chiropractic | 7719013655 | Practice locations: Sunnyvale, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-31563 | CA | MD | Chiropractor |
| 31563 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumiko Missimer, DC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Sunnyvale, CA
- NPI 1992023808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225351356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 HEATHERSTONE WAY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940871618",
"telephone_number": "408-730-4763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 S MARY AVE",
"address_2": "#230",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873050",
"telephone_number": "408-738-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISSIMER",
"first_name": "SUMIKO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-31563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.