Individual provider Active NPI

Darlene Ann Shimamoto, D.D.S.

  • General Practice Dentistry
  • Morgan Hill, CA
National Provider Identifier
1942477393
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44126 Issued in CA
Practice address
17705 Hale Ave
Suite #E3
Morgan Hill, CA 95037-4340
Phone
(408) 778-3015
Fax
(408) 778-8047
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44126 CA Primary

Addresses

Primary practice location

17705 Hale Ave
Suite #E3
Morgan Hill, CA 95037-4340

Mailing address

17705 Hale Ave
Suite #E3
Morgan Hill, CA 95037-4340
Phone (408) 778-3015

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

State licenses

LicenseStateTypeSpecialty
44126CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1942477393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE",
            "address_2": "SUITE #E3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-3015",
            "fax_number": "408-778-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 HALE AVE",
            "address_2": "SUITE #E3",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374340",
            "telephone_number": "408-778-3015",
            "fax_number": "408-778-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAMOTO",
        "first_name": "DARLENE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.