Yoshihito Shimizu, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN013638 Issued in GA

Practice address

100 Galleria Pkwy SE
Suite6 670
Atlanta, GA 30339-3179

Phone

(770) 272-1818

Fax

(770) 272-1817

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shimizu Dental LLC

  • Dental Clinic/Center
  • Atlanta, GA
  • NPI 1821720285
  NPD Authorized official
• Nihon Dental Group LLC

  • Denturist
  • Duluth, GA
  • NPI 1992248942
  NPD (past) Authorized official
• Cumberland Family Dental, LLC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1861708802
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1588060420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE",
            "address_2": "SUITE6 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393179",
            "telephone_number": "770-272-1818",
            "fax_number": "770-272-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GALLERIA PKWY SE",
            "address_2": "SUITE6 670",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393179",
            "telephone_number": "770-272-1818",
            "fax_number": "770-272-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMIZU",
        "first_name": "YOSHIHITO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013638",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Jin Shim, MD
• Tom T Shimabukuro, MD, MPH, MBA
• Shelby Parker Shimberg, PA-C
• Shimizu Dental LLC
• Crystal Michelle Shimizu, M.A., BCBA, LBA
• Christina Shin, MD
• Denny Donggun Shin
• Dong M Shin, M.D.
• Grace Shin
• Hyunjung Stella Shin, MD

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.