NPIMap

Organization Active NPI

Gupta Family Dentistry PLLC

Doing business as Gupta Family Dentistry of Mendon

  • Dentist
  • Mendon, NY
National Provider Identifier
1235717570
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GUPTA FAMILY DENTISTRY PLLC
Doing business as
Gupta Family Dentistry of Mendon
Practice address
10 Assembly Dr Ste 101
Mendon, NY 14506-9604
Phone
(585) 624-5480
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GUPTA FAMILY DENTISTRY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Bhumija Gupta
Title
Owner
Phone
(585) 436-1640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

10 Assembly Dr Ste 101
Mendon, NY 14506-9604

Mailing address

PO Box 455
Mendon, NY 14506-0455

Other names 1

  • Gupta Family Dentistry of Mendon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gupta Family Dentistry PLLC2 organizations share this tax ID, including this one
Part of
Gupta Family Dentistry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Assembly Dr
Ste 101
Mendon, NY 14506
Phone (585) 624-5480

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1235717570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ASSEMBLY DR STE 101",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145069604",
            "telephone_number": "585-624-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUPTA FAMILY DENTISTRY PLLC",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "BHUMIJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-436-1640"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gupta Family Dentistry of Mendon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.