Active NPI
Anil K Gupta
- Dentist
- Alexandria, LA
National Provider Identifier
1215270632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6354
- Practice address
- 4702 Whitehall Blvd
Alexandria, LA 71303-2633 - Phone
- (318) 792-5611
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6354 | LA | Primary |
Addresses
Primary practice location
4702 Whitehall Blvd
Alexandria, LA 71303-2633
Mailing address
4017 Parliament Dr
Alexandria, LA 71303-3018
Phone (318) 442-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210002085 | LA | Order and Referring Only - Dentist | 4082918180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A G Family Dentistry LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Alexandira, LA
- NPI 1558723312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1215270632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4017 PARLIAMENT DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033018",
"telephone_number": "318-442-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 WHITEHALL BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032633",
"telephone_number": "318-792-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ANIL",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
- Gulf Coast Teaching Family Service, Inc. (Gulf Coast Social Services)
- Gulf Coast Teaching Family Services (Gulf Coast Social Services, Inc.)
- Gulf Coast Teaching Family Services, Inc. (Gulf Coast Social Services, Inc.)
- Gulf Coast Teaching Family Services, Inc. (Gulf Coast Social Services, Inc.)
- Gulf Coast Teaching Family Services, Inc. (Gulf Coast Social Services, Inc.)
- Lee Ann Gurganious, M.S.
- H Norris, LLC
- George Jon Haag, PSYD
- Brittica Hackney, DPT
- Gregory Hackney, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.