Nusculpt MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NUSCULPT MD

Practice address

539 Centre View Blvd
Crestview Hills, KY 41017-3444

Phone

(859) 544-2426

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Shalini Gupta, MDNPI 1245437680

Title

President

Phone

(859) 544-2426

Specialties & licenses 1

Addresses

Other names 1

• Shalini Gupta MD Inc Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalini Gupta, M.D.

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1245437680
  NPD Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1346828969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-544-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 CENTRE VIEW BLVD",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173444",
            "telephone_number": "859-544-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Glades Rd Ste 140B",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316466",
            "country_code": "US",
            "telephone_number": "859-544-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUSCULPT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-544-2426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shalini Gupta MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shalini Gupta MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.