Active NPI
Sally A Gupton, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Washington, PA
National Provider Identifier
1144548637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS021563L
- Practice address
- 467 Pennsylvania Ave
Fort Washington, PA 19034 - Phone
- (215) 643-9640
- Fax
- (215) 643-9702
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS021563L | PA | Primary |
Addresses
Primary practice location
467 Pennsylvania Ave
Fort Washington, PA 19034
Mailing address
467 Pennsylvania Ave
Fort Washington, PA 19034
Phone (215) 643-9640
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 |
|---|---|---|---|
| DS021563L | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1144548637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 PENNSYLVANIA AVE",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-643-9640",
"fax_number": "215-643-9702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 PENNSYLVANIA AVE",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-643-9640",
"fax_number": "215-643-9702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTON",
"first_name": "SALLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS021563L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.