Active NPI
Anagha B. Jog, DMD, DDS
- General Practice Dentistry
- Santa Clara, CA
National Provider Identifier
1770667016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44707
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44707 | Other | CA | DENTAL BOARD OF CALIFORNIA |
| 1538378575 | Other | CA | GROUP NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44707 | CA | MD | General Practice Dentistry |
| DS-029944-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Santa Clara, CA
- NPI 1538378575
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.