Active NPI
Shilpi Gupta, DDS
- Dentist
- Mechanicsville, VA
National Provider Identifier
1053841908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415668
- Practice address
- 7522 Lee Davis Rd
Mechanicsville, VA 23111-3603 - Phone
- (804) 559-1016
- NPI assigned
- Jun 14, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401415668 | VA | Primary |
Addresses
Primary practice location
7522 Lee Davis Rd
Mechanicsville, VA 23111-3603
Mailing address
12120 Liesfeld Pond Dr
Glen Allen, VA 23059-7094
Phone (412) 680-3891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053841908 | Other | VA | NPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415668 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K J Lee DMD PC | Current | Accepting new patients |
Locations
7522 Lee Davis Rd
Mechanicsville, VA 23111
Phone (804) 559-1016
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Mechanicsville, VA
- NPI 1609497205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1053841908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12120 LIESFELD POND DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230597094",
"telephone_number": "412-680-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7522 LEE DAVIS RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113603",
"telephone_number": "804-559-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SHILPI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-02-08",
"certification_date": "2022-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1053841908",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.