Active NPI
Kavita Gupta, DDS
- General Practice Dentistry
- Elmhurst, IL
National Provider Identifier
1194894626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019023007
- Practice address
- 1200 S York Rd
Suite 3110
Elmhurst, IL 60126-5626 - Phone
- (630) 782-6999
- Fax
- (630) 782-6790
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019023007 | IL | Primary |
Addresses
Primary practice location
1200 S York Rd
Suite 3110
Elmhurst, IL 60126-5626
Mailing address
1200 S York Rd
Suite 3110
Elmhurst, IL 60126-5626
Phone (630) 782-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019023007 | Other | IL | STATE LICENSE |
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 |
|---|---|---|---|
| 019023007 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1194894626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S YORK RD",
"address_2": "SUITE 3110",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265626",
"telephone_number": "630-782-6999",
"fax_number": "630-782-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S YORK RD",
"address_2": "SUITE 3110",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265626",
"telephone_number": "630-782-6999",
"fax_number": "630-782-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "KAVITA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019023007",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "019023007",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.