Individual provider Active NPI

Vinita Goyal, D.D.S.

  • Dentist
  • San Jose, CA
National Provider Identifier
1194038570
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59491 Issued in CA
Practice address
5595 Winfield Blvd
105
San Jose, CA 95123-1220
Phone
(607) 239-0981
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59491 CA Primary

Addresses

Primary practice location

5595 Winfield Blvd
105
San Jose, CA 95123-1220

Mailing address

5595 Winfield Blvd
105
San Jose, CA 95123-1220
Phone (607) 239-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000089 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1850694324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59491CAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1194038570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD",
            "address_2": "105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "607-239-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD",
            "address_2": "105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "607-239-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "VINITA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.