Carrie S Nishimoto, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42383 Issued in CA

Practice address

265 Crestview Dr
Santa Clara, CA 95050

Phone

(408) 248-3777

NPI assigned

Jul 4, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1336347004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CRESTVIEW DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-248-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 CRESTVIEW DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "95050",
            "telephone_number": "408-248-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIMOTO",
        "first_name": "CARRIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurneet Kaur Nijjar
• Nikki Iravani OD a Professional Corporation (EyeXam Optometry)
• Mike Milad Nima I, MS
• Gina Marie Ninci-Harris, IMF
• Millie Nishikawa, MD
• Crystal Goulart Nisperos
• David A Nix, MD, PHD
• Mark D. Nixon, MD
• Tae Wook Noh, MD
• Hessam Noralahi, MD

• Dentist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.