Shimizu Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SHIMIZU ORTHODONTICS

Practice address

877 W. Fremont Avenue, G-1
Sunnyvale, CA 94087-2319

Phone

(408) 738-1314

Fax

(408) 738-8215

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Michael Shimizu, DDSNPI 1841833985

Title

General Partner

Phone

(408) 738-1314

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kevin Shimizu, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sunnyvale, CA
  • NPI 1841833985
  NPD Authorized official
• Kenneth Alan Shimizu, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sunnyvale, CA
  • NPI 1235329566
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1255965729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W. FREMONT AVENUE, G-1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872319",
            "telephone_number": "408-738-1314",
            "fax_number": "408-738-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W. FREMONT AVENUE, G-1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872319",
            "telephone_number": "408-738-1314",
            "fax_number": "408-738-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMIZU ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "SHIMIZU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "408-738-1314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chengguang Shi, LICENSED ACUPUNCTURI
• Yubin Shi, D.D.S.
• Shibani Rajadhyksha DDS Inc.
• Shield T3, LLC
• Karen Shih, M.D.
• Kenneth Alan Shimizu, D.D.S., M.S.D.
• Kevin Shimizu, DDS, MSD
• Warren Ken Shimotsu, DDS
• Haam-Baak Shin, RD
• Sandra Shin, D.M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.