Individual provider Active NPI

Arun Kumar Gupta, D.D.S.

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1043488117
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56817 Issued in CA
Practice address
11623 Cherry Ave Ste B2
Fontana, CA 92337-1212
Phone
(909) 355-1485
Fax
(909) 355-2715
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56817 CA Primary

Addresses

Primary practice location

11623 Cherry Ave Ste B2
Fontana, CA 92337-1212

Mailing address

3228 October CT
Riverside, CA 92503-0908
Phone (951) 278-1931

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

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1043488117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 OCTOBER CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030908",
            "telephone_number": "951-278-1931",
            "fax_number": "909-355-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 CHERRY AVE STE B2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371212",
            "telephone_number": "909-355-1485",
            "fax_number": "909-355-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ARUN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56817",
            "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 Feb 12, 2008; 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.