Individual provider Active NPI

Anagha B. Jog, DMD, DDS

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1770667016
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44707 Issued in CA
Practice address
2727 Walsh Ave Ste 102
Santa Clara, CA 95051-0956
Phone
(408) 987-0530
Fax
(408) 988-0955
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-029944-L PA
General Practice Dentistry 1223G0001X 44707 CA Primary

Addresses

Primary practice location

2727 Walsh Ave Ste 102
Santa Clara, CA 95051-0956

Mailing address

2727 Walsh Ave Ste 102
Santa Clara, CA 95051-0956
Phone (408) 987-0530

Other identifiers 2

IdentifierTypeStateIssuer
44707OtherCADENTAL BOARD OF CALIFORNIA
1538378575OtherCAGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svdent7@pacbell.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44707CAMDGeneral Practice Dentistry
DS-029944-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jog Dental Corporation General Practice Current Accepting new patients

Locations

2975 Bowers Ave
Ste 100
Santa Clara, CA 95051
Phone (408) 987-0530

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1770667016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 WALSH AVE STE 102",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510956",
            "telephone_number": "408-987-0530",
            "fax_number": "408-988-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 WALSH AVE STE 102",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510956",
            "telephone_number": "408-987-0530",
            "fax_number": "408-988-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOG",
        "first_name": "ANAGHA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DMD, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-029944-L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "44707",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1538378575",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svdent7@pacbell.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 Walsh Ave Ste 102",
            "city": "Santa Clara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950510956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.