Active NPI
Russell Dean Nishimura, D.D.S.
- Prosthodontics
- Westlake Village, CA
National Provider Identifier
1437351053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 34532
- Practice address
- 911 Hampshire Rd
Suite 5
Westlake Village, CA 91361-2818 - Phone
- (805) 496-0026
- Fax
- (805) 496-0050
- NPI assigned
- Jun 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 34532 | CA | Primary |
Addresses
Primary practice location
911 Hampshire Rd
Suite 5
Westlake Village, CA 91361-2818
Mailing address
911 Hampshire Road
Suite 5
Westlake Village, CA 91361-2818
Phone (805) 496-0026
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437351053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 HAMPSHIRE ROAD",
"address_2": "SUITE 5",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612818",
"telephone_number": "805-496-0026",
"fax_number": "805-496-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HAMPSHIRE RD",
"address_2": "SUITE 5",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913612818",
"telephone_number": "805-496-0026",
"fax_number": "805-496-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIMURA",
"first_name": "RUSSELL",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "34532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
- Donald Nikchvich, D.D.S.
- Debra Catherine Nino, D.C.
- Ninus Ebrahimi, DMD, a Dental Corporation
- Ninus Ebrahimi, DMD, a Dental Corporation
- Grant Nishimura, DDS, MD
- Niti V. Peruvemba, D.O., Inc.
- Niti Vaid, DO, Facp
- No Limit Anesthesia & Nursing Corp
- Norine Vander Hooven, Licensed Clinical Social Worker, Inc
- Jennifer Norris, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.