Active NPI
Steven Shimazu, DDS
- Endodontics
- Claremont, CA
National Provider Identifier
1336354737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 33372
- Practice address
- 150 W First Street
Suite 170
Claremont, CA 91711 - Phone
- (909) 625-6010
- Fax
- (909) 625-2112
- NPI assigned
- May 11, 2007
- Last updated
- Feb 13, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 33372 | CA | Primary |
Addresses
Primary practice location
150 W First Street
Suite 170
Claremont, CA 91711
Mailing address
150 W First Street
Suite 170
Claremont, CA 91711
Phone (909) 625-6010
Other names 1
- Steve Shimwazu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1336354737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W FIRST STREET",
"address_2": "SUITE 170",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "91711",
"telephone_number": "909-625-6010",
"fax_number": "909-625-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W FIRST STREET",
"address_2": "SUITE 170",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "91711",
"telephone_number": "909-625-6010",
"fax_number": "909-625-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMAZU",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "33372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "SHIMWAZU",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.