Organization Active NPI

Dr Gupta & Ahuja Dental Corporation

  • General Practice Dentistry
  • Colton, CA
National Provider Identifier
1295880409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR GUPTA & AHUJA DENTAL CORPORATION
Practice address
1130 N Pepper Ave
Ste E
Colton, CA 92324-6716
Phone
(909) 370-3313
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jugal Gupta
Title
Owner
Phone
(909) 370-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1130 N Pepper Ave
Ste E
Colton, CA 92324-6716

Mailing address

1130 N Pepper Ave
Ste E
Colton, CA 92324-6716
Phone (909) 370-3313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295880409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N PEPPER AVE",
            "address_2": "STE E",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246716",
            "telephone_number": "909-370-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N PEPPER AVE",
            "address_2": "STE E",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246716",
            "telephone_number": "909-370-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GUPTA & AHUJA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUGAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-370-3313",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.