Mary Jean Shimane, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

46564 Issued in CA

Practice address

20099 Redwood Rd
Castro Valley, CA 94546-4326

Phone

(510) 881-1611

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
• Direct secure messaging: mshimane585286@direct.ochin.org

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.

• The Davis Street Community Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Leandro, CA
  • NPI 1215358924
  Medicare reassignment NPD
• Bruce Ahtye DDS

  • Dental Clinic/Center
  • Castro Valley, CA
  • NPI 1053720128
  NPD (past)
• John M Nakhla DDS, Inc

  • General Practice Dentistry
  • Castro Valley, CA
  • NPI 1093162935
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1851848196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20099 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464326",
            "telephone_number": "510-881-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20099 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464326",
            "telephone_number": "510-881-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMANE",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shen and Busquets Dental Partnership
• Svetlana Shepovalova, PHARMD
• Shervin Yazdi DDS, Inc
• Sunnah Sherzad
• Casey Keisuke Shimane, DDS
• Chiko Shimizu, PA-C
• Amy Michelle Shing, AG-ACNP
• Tammi Lenelle Shoop, RN
• Jeffery Lucas Short, DPT
• Rinku Shrivastava, M.D.

• Dentist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.