Organization Active NPI

Deepti Gupta-Johnson, DMD LLC

Doing business as Daydream Dental

  • Dentist
  • Portland, OR
National Provider Identifier
1215755434
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEEPTI GUPTA-JOHNSON, DMD LLC
Doing business as
Daydream Dental
Practice address
4901 NE Glisan St
Portland, OR 97213-2935
Phone
(503) 231-1644
NPI assigned
Sep 27, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Dr. Deepti Gupta-Johnson, DMDNPI 1710606348
Title
Manager
Phone
(937) 681-5255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4901 NE Glisan St
Portland, OR 97213-2935

Mailing address

4901 NE Glisan St
Portland, OR 97213-2935
Phone (937) 681-5255

Other names 1

  • Daydream Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4901 NE Glisan St
Portland, OR 97213
Phone (503) 231-1644

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1215755434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132935",
            "telephone_number": "937-681-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132935",
            "telephone_number": "503-231-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPTI GUPTA-JOHNSON, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA-JOHNSON",
        "authorized_official_first_name": "DEEPTI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-681-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daydream Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.