Raja Gupta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411267 Issued in VA

Practice address

6116 Rolling Rd Ste 312
Springfield, VA 22152-1512

Phone

(703) 323-9394

Fax

(703) 323-9395

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental First Associates

  • Dental Clinic/Center
  • Springfield, VA
  • NPI 1205344546
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447301452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 312",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-323-9394",
            "fax_number": "703-323-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 312",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-323-9394",
            "fax_number": "703-323-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9570A Burke Rd",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220153152",
            "country_code": "US",
            "telephone_number": "703-323-9394",
            "fax_number": "703-323-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAJA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13837",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn Guerra
• Milena Guertin, LCSW
• Stephanie Rae Guffey, BCBA, LMT, CNMT
• Lisa Gulbranson, MS CCC-SLP
• Justin Gumina, RN
• Sumeet Gupta, M.D.
• Josef Gurian, M.D.
• Deborah Oncale Guthrie, PMHNP
• J Steven Gutmann, DDS MS
• Jamie Guzman

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.