Himank Gupta, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13429 Issued in CT

Practice address

304 Federal Rd Ste 305
Brookfield, CT 06804-2422

Phone

(203) 775-9463

Fax

(203) 775-9463

NPI assigned

May 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brookfield Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brookfield, CT
  • NPI 1013731561
  NPD Authorized official

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1104203538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD STE 305",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042422",
            "telephone_number": "203-775-9463",
            "fax_number": "203-775-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD STE 305",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042422",
            "telephone_number": "203-775-9463",
            "fax_number": "203-775-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "HIMANK",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "13429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Greaves, MS, APRN
• Gregory G Jones, LCSW LLC
• Marni Jill Gross, M.S.,CCC-SLP
• Edilia Gualdron, D.P.T.
• Yolande Guastadisegni, OTR
• Sanjay Kumar Gupta, MD
• Jaime Gutierrez, DDS
• Aimee Hannah
• Thourya Haoues-Brown, M.D.
• Tabatha Broderick Harvey, APRN

• Orthodontics and Dentofacial Orthopedics Dentistry in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.