Individual provider Active NPI

Pooja Goel, DDS

  • Dentist
  • Santa Clara, CA
National Provider Identifier
1861823205
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50603 Issued in CA
Practice address
310 N Winchester Blvd
Santa Clara, CA 95050-6502
Phone
(408) 241-6501
Fax
(408) 241-6056
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50603 CA Primary

Addresses

Primary practice location

310 N Winchester Blvd
Santa Clara, CA 95050-6502

Mailing address

310 N Winchester Blvd
Santa Clara, CA 95050-6502
Phone (408) 241-6501

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
I20150916001529 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880901560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50603CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pooja Goel, DDS and Gurpreet Kaur, RDH, a Professional Dental Corp. Dentist CurrentSince Sep 9, 2014 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1569 Lexann Ave
Ste 228
San Jose, CA 95121

310 N Winchester Blvd
Santa Clara, CA 95050
Phone (408) 205-1106

Organizations & group practices 2

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1861823205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WINCHESTER BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506502",
            "telephone_number": "408-241-6501",
            "fax_number": "408-241-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WINCHESTER BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506502",
            "telephone_number": "408-241-6501",
            "fax_number": "408-241-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEL",
        "first_name": "POOJA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.