Active NPI
Rajju Gupta, DDS
- Dentist
- Oklahoma City, OK
National Provider Identifier
1417443474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7084
- Practice address
- 1040 NE 36TH St
Oklahoma City, OK 73111-5002 - Phone
- (405) 967-7742
- NPI assigned
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7084 | OK | Primary |
Addresses
Primary practice location
1040 NE 36TH St
Oklahoma City, OK 73111-5002
Mailing address
5908 Regis CT
Edmond, OK 73034-8010
Phone (346) 413-9976
Other practice location 1
15398 Lleytons Ct Ste 105
Edmond, OK 73013-2271
Phone (346) 413-9976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5908 Regis CT
Edmond, OK 73034-8010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7084 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Inspirations LLC | Current | Accepting new patients |
Locations
15398 Lleytons Ct
Ste 105
Edmond, OK 73013
Phone (346) 413-9976
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1417443474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5908 REGIS CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348010",
"telephone_number": "346-413-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NE 36TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731115002",
"telephone_number": "405-967-7742"
}
],
"practiceLocations": [
{
"address_1": "15398 Lleytons Ct Ste 105",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730132271",
"country_code": "US",
"telephone_number": "346-413-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "RAJJU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-02",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "7084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.