Mira Godiwala, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46544 Issued in CA

Practice address

19940 Homestead Rd
Ste100
Cupertino, CA 95014-0561

Phone

(408) 255-2385

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1770675142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19940 HOMESTEAD RD STE 100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140561",
            "telephone_number": "408-518-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19940 HOMESTEAD RD",
            "address_2": "STE100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950140561",
            "telephone_number": "408-255-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIWALA",
        "first_name": "MIRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mira@smileworlddental.com",
            "affiliation": "N",
            "endpointDescription": "Dr's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "19940 Homestead Rd",
            "address_2": "Ste100",
            "city": "Cupertino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950140561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ernest Gordon Giachetti
• Christine Giang, PHARMD
• Lisa Gilliland, RD
• Goal Oriented Therapeutics
• Goals Foundation Inc
• Chhavi Goenka
• Karin Gold, LMFT
• Golden Apple Medical Group
• Golden Health Acupuncture Incorporation
• Golden Vision Optometry of Cupertino

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.