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MARK M. NISHIMURA DDS
NPI 1306936182
Dentist - General Practice in San Jose, CA

Active since October 13, 2006
751 S BASCOM AVE, MOBILE DENTAL VAN CLINIC, SAN JOSE, CA 95128(408) 885-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark M. Nishimura Dds NPPES

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

MARK M. NISHIMURA DDS (NPI 1306936182) is an individual general practice provider in San Jose, California, licensed in California (46663) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1306936182
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK M. NISHIMURACredential: DDS
Location Address751 S BASCOM AVE, MOBILE DENTAL VAN CLINICSan Jose, CA 95128
Mailing Address1733 Whispering Willow PlSan Jose, CA 95125 · (408) 978-7084
Phone(408) 885-5000
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306936182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 46663
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

751 S BASCOM AVE, San Jose, CA 95128
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Other Identifiers 2

Medicare ID-Type UnspecifiedDS0366630
Medicare UPINV05995CA

Other Providers at the Same Location NPPES 20

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

MS. TRANG N NGUYEN PHARM.D
Pharmacist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-2360
DR. ILANA TRAYNIS M.D.
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128
Santa Clara County (408) 885-6300
DR. ABBY KATHERINE SCURFIELD MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
GABRIELLE MINEHAN CCP
Perfusionist
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
PRIYA NIGAM MD
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CAROLINE DENISON JORDAN
Student in an Organized Health Care Education/Training Program
751 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
MICHAEL NATHANSON MD, PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
EAMONN PATRICK DUNPHY MD
Internal Medicine
751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128
Santa Clara County (408) 885-4150

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 Mark Nishimura's NPI number?

The NPI number for Mark Nishimura is 1306936182. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mark Nishimura located?

Mark Nishimura practices at 751 S Bascom Ave Mobile Dental Van Clinic, San Jose, CA 95128. The listed phone number is (408) 885-5000.

What is Mark Nishimura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mark Nishimura was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.