Organization Active NPI

Gupta Dental Office

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1043443559
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36370 Issued in CA
Legal business name
GUPTA DENTAL OFFICE
Practice address
16049 Baseline Ave Unit 3
Fontana, CA 92336-1861
Phone
(909) 356-9752
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Jugal K Gupta, DDS
Title
Dentist / Owner
Phone
(909) 356-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 36370 CA Primary

Addresses

Primary practice location

16049 Baseline Ave Unit 3
Fontana, CA 92336-1861

Mailing address

16049 Baseline Ave Unit 3
Fontana, CA 92336-1861
Phone (909) 356-9752

National Provider Directory

National Provider Directory

Locations

16049 Baseline Ave
Unit 3
Fontana, CA 92336
Phone (909) 356-9752

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1043443559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 BASELINE AVE UNIT 3",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361861",
            "telephone_number": "909-356-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16049 BASELINE AVE UNIT 3",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361861",
            "telephone_number": "909-356-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUGAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "909-356-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.