Mark Y. Shimao, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1694 Issued in HI

Legal business name

MARK Y. SHIMAO, DDS, INC.

Practice address

91-902 Fort Weaver Rd
Suite 201
Ewa Beach, HI 96706-2261

Phone

(808) 689-6900

Fax

(808) 689-8330

NPI assigned

Sep 19, 2009

Organization subpart

No

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

Authorized official

Name

Mark Yuji Shimao, DDSNPI 1780703827

Title

Dentist/Owner

Phone

(808) 689-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mark Yuji Shimao, DDS

  • General Practice Dentistry
  • Ewa Beach, HI
  • NPI 1780703827
  NPD (past) Authorized official

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253318400000",
    "number": "1699009977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD",
            "address_2": "SUITE 201",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-6900",
            "fax_number": "808-689-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-902 FORT WEAVER RD",
            "address_2": "SUITE 201",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062261",
            "telephone_number": "808-689-6900",
            "fax_number": "808-689-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK Y. SHIMAO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-19",
        "last_updated": "2009-09-19",
        "status": "A",
        "authorized_official_last_name": "SHIMAO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "YUJI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "808-689-6900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069761 01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Manzo, M.S.BCBA, LBA
• Caitlin Marcelo-Servito
• Margaret Hales, LMHC LLC
• Aurora C Mariani, M.D.
• Mark Dichner PH D Inc
• Colin Marsh
• Celeste Marshall
• Allysha Mae R Martinez, RN
• Kawena E Martinez, MS - COUNSELING
• Melanie J Masaki, O.D.

• General Practice Dentistry in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.