Kathryn Lauren Shimizu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS108606 Issued in CA

Practice address

8848 Calvine Rd Ste 120
Sacramento, CA 95828-9335

Phone

(916) 307-6035

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Lawrence Lau, DMD, PC

  • Dental Clinic/Center
  • Sacramento, CA
  • NPI 1326403544
  NPD (past)

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1871227728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10182 CORNICE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575012",
            "telephone_number": "925-285-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 CALVINE RD STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958289335",
            "telephone_number": "916-307-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5342 Dudley Blvd",
            "address_purpose": "LOCATION",
            "city": "McClellan",
            "state": "CA",
            "postal_code": "956521012",
            "country_code": "US",
            "telephone_number": "925-285-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIMIZU",
        "first_name": "KATHRYN",
        "middle_name": "LAUREN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Shijo, PT
• Emma Shillington
• Myrna Jean Shim, RN PHN
• Ruth Shim, M. D.
• Todd M Shima
• Kirsten Shimizu, PA
• Timofey Anatoliyovych Shimko, PHARMD
• Nora Shimoda, SLP
• Valorie Yuki Shimoda
• Suzanne Shimoyama, M.D.

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.