MR. KERRY JOHN SHIMIZU DDS
NPI 1407040975
Dentist in Huntington Beach, CA

Q: What is Kerry Shimizu's NPI number?

The NPI number for Kerry Shimizu is 1407040975. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Q: What is Kerry Shimizu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Shimizu was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 28, 2007PECOS Enrolled

5112 WARNER AVENUE, SUITE 101, HUNTINGTON BEACH, CA 92649(714) 846-1354(714) 846-0565 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Kerry John Shimizu Dds NPPES

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

MR. KERRY JOHN SHIMIZU DDS (NPI 1407040975) is an individual dentist in Huntington Beach, California, licensed in California (DZ35027) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407040975

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. KERRY JOHN SHIMIZUCredential: DDS

Location Address5112 WARNER AVENUE, SUITE 101Huntington Beach, CA 92649

Mailing Address5112 Warner Avenue, Suite 101Huntington Beach, CA 92649 · (714) 846-1354 · Fax (714) 846-0565

Phone(714) 846-1354

Fax(714) 846-0565

Sole ProprietorYes

Enumeration DateAugust 28, 2007

✔ NPI 1407040975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DZ35027

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5112 WARNER AVENUE, Huntington Beach, CA 92649

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kerry John Shimizu Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92649 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kerry Shimizu's NPI number?

The NPI number for Kerry Shimizu is 1407040975. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Kerry Shimizu located?

Kerry Shimizu practices at 5112 Warner Avenue Suite 101, Huntington Beach, CA 92649. The listed phone number is (714) 846-1354.

What is Kerry Shimizu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kerry Shimizu enrolled in Medicare?

Yes. Kerry Shimizu is registered in the Medicare PECOS enrollment system.

What insurance does Kerry Shimizu accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kerry Shimizu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry Shimizu was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.