Active NPI
Priya Goel Gogte, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1861613614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49101
- Practice address
- 55 East Julian Street
San Jose, CA 95112 - Phone
- (408) 918-2618
- Fax
- (408) 795-1129
- NPI assigned
- May 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49101 | CA | Primary |
Addresses
Primary practice location
55 East Julian Street
San Jose, CA 95112
Mailing address
55 East Julian Street
San Jose, CA 95112
Phone (408) 918-2618
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160411001534 | CA | Order and Referring Only - Dentist | 1658678800 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49101 | CA | MD | Pharmacist |
Interoperability endpoints
- pgoelgogte578461@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1861613614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 EAST JULIAN STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-918-2618",
"fax_number": "408-795-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 EAST JULIAN STREET",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-918-2618",
"fax_number": "408-795-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGTE",
"first_name": "PRIYA",
"middle_name": "GOEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.