Shekhar Gupta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS036379 Issued in PA

Practice address

1112A N 9TH St
Stroudsburg, PA 18360-1102

Phone

(570) 424-6005

Fax

(570) 424-6534

NPI assigned

Apr 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 PA

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Dental Associates Nepa, PLLC

  • Dentist
  • Stroudsburg, PA
  • NPI 1689901043
  NPD (past) Authorized official
• Gupta Dental LLC

  • General Practice Dentistry
  • Hackettstown, NJ
  • NPI 1841871399
  Authorized official Same address or phone

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174743041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000",
            "fax_number": "315-454-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112A N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601102",
            "telephone_number": "570-424-6005",
            "fax_number": "570-424-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHEKHAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwill Healthcare Inc
• Glenda Gresham, MSW
• Jennifer L Grieco
• Groteke Chiropractic Health Center, P.C.
• Anthony Guarriello Jr., OTR/L
• Kiera Gushue
• Christine Haglund, MS, RDN, LDN
• Alyssa Hagy, CRNP
• Nasir Hameed, MD
• Cheryl Hamilton, M.D.

• Dentist in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.