Individual provider Active NPI

Uranela Zhupa, DDS

  • Dentist
  • Palm Desert, CA
National Provider Identifier
1487376026
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108013 Issued in CA
Practice address
34460 Monterey Ave Ste 100
Palm Desert, CA 92211-6008
Phone
(954) 549-7308
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108013 CA Primary

Addresses

Primary practice location

34460 Monterey Ave Ste 100
Palm Desert, CA 92211-6008

Mailing address

34460 Monterey Ave Ste 100
Palm Desert, CA 92211-6008
Phone (954) 549-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001090 CA Order and Referring Only - DentistPractitioner - Dentist 9739550328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1487376026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34460 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116008",
            "telephone_number": "954-549-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34460 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116008",
            "telephone_number": "954-549-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUPA",
        "first_name": "URANELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.