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Active NPI 1780703827 Individual Practitioner Male Practitioner

Dr. Mark Yuji Shimao , DDS

Dentist - General Practice • Ewa Beach, HI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Shimao, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ewa Beach, HI. Practice services are available at 91-902 FORT WEAVER RD STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

91-902 Fort Weaver Rd Ste 201

Ewa Beach, HI 967062261

Telephone 8086896900
Fax 8086898330
Associated Practice Facility / Clinic
🏢 Mark Y. Shimao, Dds, Inc. Facility NPI 1699009977

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ewa Beach, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Ewa Beach, HI (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License HI 1694

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia Id #
721292 (HI)
Commercial Insurance / Payer ID State Lic. Id #
1694 (HI)
Commercial Insurance / Payer ID Hds Id #
81694 (HI)
Commercial Insurance / Payer ID Hmsa Id #
K9063-5 (HI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 91-902 FORT WEAVER RD STE 201, EWA BEACH, HI 967062261 (Tel: 8086896900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 91-902 FORT WEAVER RD STE 201, EWA BEACH, HI 967062261 (Tel: 8086896900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK SHIMAO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1694 in HI)

🟢
Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780703827
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

91-902 Fort Weaver Rd Ste 201

Ewa Beach, HI 967062261

Phone: 8086896900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.