Individual provider Active NPI

Upoma Guha, B.D.S., M.S.

  • Dentist
  • Gainesville, FL
National Provider Identifier
1184153132
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DTP680 Issued in FL
Practice address
1395 Center Drive, Room # D1-11
University of Florida, College of Dentistry
Gainesville, FL 32610-0415
Phone
(352) 273-7954
Fax
(716) 829-2440
NPI assigned
Jun 5, 2017
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DTP680 FL Primary

Addresses

Primary practice location

1395 Center Drive, Room # D1-11
University of Florida, College of Dentistry
Gainesville, FL 32610-0415

Mailing address

1395 Center Drive, Room # D9-16C
University of Florida, College of Dentistry
Gainesville, FL 32610-0415
Phone (352) 273-5843

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DTP680FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1184153132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DRIVE, ROOM # D9-16C",
            "address_2": "UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100415",
            "telephone_number": "352-273-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DRIVE, ROOM # D1-11",
            "address_2": "UNIVERSITY OF FLORIDA, COLLEGE OF DENTISTRY",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100415",
            "telephone_number": "352-273-7954",
            "fax_number": "716-829-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "UPOMA",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.