Sonia Gupta, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DT-2386 Issued in HI

Practice address

56 Ehiku Loop Ste 2
Kihei, HI 96753-5612

Phone

(808) 633-6931

Fax

(888) 222-3530

NPI assigned

Feb 24, 2009

Last updated

Nov 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 3, 2015 through Dec 3, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ann.muramoto@hawaiihie.medicity.net

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.

• Special Care Dentistry, LLC

  • Dentist
  • Kihei, HI
  • NPI 1285948059
  NPD (past) Authorized official
• West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua Kona, HI
  • NPI 1952335630
  NPD

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1306086715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967530539",
            "telephone_number": "808-633-6931",
            "fax_number": "888-222-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EHIKU LOOP STE 2",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535612",
            "telephone_number": "808-633-6931",
            "fax_number": "888-222-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SONIA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57251",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "635534",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Griffin, M.D.
• Laura Grooms
• Jamie Lynn Gruen-Baldwin, MA, MFT
• Brooke Tiffany Guild, LMT
• Ross Gunn III, M.A.
• Michael R Gurk, PT
• Christopher Michael Haas, LMFT
• Solana Veronika Hablewitz Prieto
• Kristen Haddon
• Jodi Hamblin

• Dentist in Kihei, HI
• Providers in Kihei, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.