OrganizationActive
Stason K. Shishido, D.D.S. Inc.
NPI 1609237759 · Dental Clinic/Center · San Jose, CA
Provider details
- NPI number
- 1609237759
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stason Shishido, President/Owner(408) 294-6624
- License
- 35551 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2025 Forest Ave Ste 3
San Jose, CA 95128-4806
Phone: (408) 294-6624
Fax: (408) 920-0937
Street-level locationGet directions
Mailing address
2025 Forest Ave Ste 3
San Jose, CA 95128-4806
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2016-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.