Individual provider Active NPI

Ashwin Gulati, DDS

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1083099535
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31279 Issued in TX
Practice address
2412 W Enfield Way
Chandler, AZ 85286-6721
Phone
(480) 516-5791
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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 31279 TX Primary

Addresses

Primary practice location

2412 W Enfield Way
Chandler, AZ 85286-6721

Mailing address

2412 W Enfield Way
Chandler, AZ 85286-6721
Phone (480) 516-5791

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

LicenseStateTypeSpecialty
31279TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Dental and Orthodontics General Practice PastSince Apr 17, 2022 Accepting new patients
Phoenix Dental and Orthodontics, PLLC General Practice PastSince Sep 20, 2022 Accepting new patients
Casa Grande Dental and Orthodontics LLC General Practice PastSince Apr 3, 2022 Accepting new patients
Thunderbird Dental and Orthodontics PLLC General Practice PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 4

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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1083099535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 W ENFIELD WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866721",
            "telephone_number": "480-516-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 W ENFIELD WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866721",
            "telephone_number": "480-516-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ASHWIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.