Individual provider Active NPI

Nidhi Gupta, D.D.S

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1497196737
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62587 Issued in CA
Practice address
7860 West LN
Stockton, CA 95210-3317
Phone
(209) 954-1727
NPI assigned
Jul 16, 2013
Reactivated
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62587 CA Primary

Addresses

Primary practice location

7860 West LN
Stockton, CA 95210-3317

Mailing address

11644 Circle Way
Dublin, CA 94568-2761
Phone (408) 375-6814

Other practice location 1

1650 B St
Hayward, CA 94541-3020
Phone (408) 375-6814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nidhi Gupta, DDS, a Professional Dental Corporation General Practice CurrentSince Oct 10, 2021 Accepting new patients
Dr Nidhi Gupta Dental Corp General Practice Current Accepting new patients

Locations

1650 B St
Hayward, CA 94541
Phone (408) 375-6814

Interoperability endpoints

  • Direct secure messaging: ngupta@direct.westerndental.com

Organizations & group practices 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1497196737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11644 CIRCLE WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682761",
            "telephone_number": "408-375-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 WEST LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103317",
            "telephone_number": "209-954-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 B St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413020",
            "country_code": "US",
            "telephone_number": "408-375-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NIDHI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "deactivation_date": "2022-03-03",
        "reactivation_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.