Organization Active NPI

Preetika Gupta DDS

  • General Practice Dentistry
  • Wyandanch, NY
National Provider Identifier
1093589087
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PREETIKA GUPTA DDS
Practice address
1521 Straight Path
Wyandanch, NY 11798-3414
Phone
(631) 643-3800
Fax
(631) 253-4292
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Dr. Preetika GuptaNPI 1073746822
Title
President
Phone
(917) 675-2310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1521 Straight Path
Wyandanch, NY 11798-3414

Mailing address

1521 Straight Path
Wyandanch, NY 11798-3414
Phone (631) 643-3800

Other practice location 1

234 W Jericho Tpke
Huntington Station, NY 11746-3628
Phone (631) 591-9200

Other names 1

  • wyandanch dental center Doing business as

National Provider Directory

National Provider Directory

Locations

234 W Jericho Tpke
Huntington Station, NY 11746
Phone (631) 423-5400

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1093589087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983414",
            "telephone_number": "631-643-3800",
            "fax_number": "631-253-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 STRAIGHT PATH",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983414",
            "telephone_number": "631-643-3800",
            "fax_number": "631-253-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 W Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Huntington Station",
            "state": "NY",
            "postal_code": "117463628",
            "country_code": "US",
            "telephone_number": "631-591-9200",
            "fax_number": "631-591-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREETIKA GUPTA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "PREETIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-675-2310",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wyandanch dental center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "wyandanch dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.