Individual provider Active NPI

Sumiko Missimer, D.C.

  • Chiropractor
  • Sunnyvale, CA
National Provider Identifier
1225351356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31563 Issued in CA
Practice address
1309 S Mary Ave
#230
Sunnyvale, CA 94087-3050
Phone
(408) 738-8610
NPI assigned
Mar 3, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
I20100330000506 CA Practitioner - Chiropractic 7719013655 Practice locations: Sunnyvale, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31563CAMDChiropractor
31563CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumiko Missimer, DC Chiropractor PastSince Mar 24, 2011 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.

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.

Verify at the official NPI Registry.