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DEREK Y. NISHIMORI, D.D.S., INC.
NPI 1184292690
Clinic/Center - Dental in San Jose, CA

Active since June 12, 2021
2034 FOREST AVE STE 1A, SAN JOSE, CA 95128(408) 279-8080 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Y. Nishimori, D.d.s., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK Y. NISHIMORI, D.D.S., INC. (NPI 1184292690) is a healthcare organization registered as a dental in San Jose, California and active in the NPI registry since June 2021. The organization lists Derek Yutaka Nishimori, Dentist, as its authorized official.

NPPES Registry Identity

NPI1184292690
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDEREK Y. NISHIMORI, D.D.S., INC.
Location Address2034 FOREST AVE STE 1ASan Jose, CA 95128-4809
Mailing Address2034 Forest Ave Ste 1aSan Jose, CA 95128-4809
Phone(408) 279-8080
Organization SubpartNo
Authorized OfficialDerek Yutaka NishimoriDentist · (408) 279-8080
Enumeration DateJune 12, 2021
NPPES CertifiedJune 12, 2021
✔ NPI 1184292690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2034 FOREST AVE STE 1A, San Jose, CA 95128
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN K TANAKA DDS
Dentist
2034 FOREST AVE STE 1A
SAN JOSE, CA 95128
Santa Clara County (408) 279-8080
DEREK TAN DDS
Dentist
2034 FOREST AVE STE 1A
SAN JOSE, CA 95128
Santa Clara County (408) 279-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Y. Nishimori, D.D.S., Inc.'s NPI number?

The NPI number for Derek Y. Nishimori, D.D.S., Inc. is 1184292690. It was assigned to this organization in the NPPES registry on June 12, 2021.

Where is Derek Y. Nishimori, D.D.S., Inc. located?

Derek Y. Nishimori, D.D.S., Inc. is located at 2034 Forest Ave Ste 1A, San Jose, CA 95128. The listed phone number is (408) 279-8080.

What is Derek Y. Nishimori, D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Derek Y. Nishimori, D.D.S., Inc. was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.