STASON K. SHISHIDO, D.D.S. INC.
NPI 1609237759
Clinic/Center - Dental in San Jose, CA

Q: What is Stason K. Shishido, D.D.S. Inc.'s NPI number?

The NPI number for Stason K. Shishido, D.D.S. Inc. is 1609237759. It was assigned to this organization in the NPPES registry on March 17, 2016.

Q: What is Stason K. Shishido, D.D.S. Inc.'s specialty?

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

Active since March 17, 2016

2025 FOREST AVE STE 3, SAN JOSE, CA 95128(408) 294-6624(408) 920-0937 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stason K. Shishido, D.d.s. Inc. NPPES

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

STASON K. SHISHIDO, D.D.S. INC. (NPI 1609237759) is a healthcare organization registered as a dental in San Jose, California and active in the NPI registry since March 2016. The organization lists Stason Katsuro Shishido, President/owner, as its authorized official.

NPPES Registry Identity

NPI1609237759

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSTASON K. SHISHIDO, D.D.S. INC.

Location Address2025 FOREST AVE STE 3San Jose, CA 95128-4806

Mailing Address2025 Forest Ave Ste 3San Jose, CA 95128-4806 · (408) 294-6624 · Fax (408) 920-0937

Phone(408) 294-6624

Fax(408) 920-0937

Organization SubpartNo

Authorized OfficialStason Katsuro ShishidoPresident/owner · (408) 294-6624

Enumeration DateMarch 17, 2016

✔ NPI 1609237759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in CA · 35551

2025 FOREST AVE STE 3, San Jose, CA 95128

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Other Providers at the Same Location NPPES 3

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

SHANTIAKAZEMI DDS APC

Dentist

2025 FOREST AVE STE 3
SAN JOSE, CA 95128

Santa Clara County (408) 294-6624

EUGENE P RAVIZZA D.D.S.

Dentist

2025 FOREST AVE STE 3
SAN JOSE, CA 95128

Santa Clara County (408) 294-6624

DR. STASON K. SHISHIDO D.D.S

Dentist (General Practice)

2025 FOREST AVE STE 3
SAN JOSE, CA 95128

Santa Clara County (408) 294-6624

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 Stason K. Shishido, D.D.S. Inc.'s NPI number?

The NPI number for Stason K. Shishido, D.D.S. Inc. is 1609237759. It was assigned to this organization in the NPPES registry on March 17, 2016.

Where is Stason K. Shishido, D.D.S. Inc. located?

Stason K. Shishido, D.D.S. Inc. is located at 2025 Forest Ave Ste 3, San Jose, CA 95128. The listed phone number is (408) 294-6624.

What is Stason K. Shishido, 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 Stason K. Shishido, D.D.S. Inc. was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.