Individual provider Active NPI

Shivani Anand, DDS

  • Endodontics
  • Santa Clara, CA
National Provider Identifier
1508132408
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DDS100425 Issued in CA
Practice address
122 Saratoga Ave
Santa Clara, CA 95051-7385
Phone
(408) 556-1333
NPI assigned
Mar 26, 2012
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DDS100425 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

122 Saratoga Ave
Santa Clara, CA 95051-7385

Mailing address

122 Saratoga Ave
Santa Clara, CA 95051-7385

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
I20170331001565 CA Order and Referring Only - DentistPractitioner - Dentist 6103101225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS100425CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1508132408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SARATOGA AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SARATOGA AVE",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950517385",
            "telephone_number": "408-556-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAND",
        "first_name": "SHIVANI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "DDS100425",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.