Active NPI
Rohit Gupta
- Dentist
- Cleveland, OH
National Provider Identifier
1598404287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- APP-000593674
- Practice address
- 11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3833 - Phone
- (216) 368-7238
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- 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 | APP-000593674 | OH | Primary |
Addresses
Primary practice location
11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3833
Mailing address
5715 Ashcroft LN
Hilliard, OH 43026-8297
Phone (201) 925-1070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APP-000593674 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1598404287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5715 ASHCROFT LN",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430268297",
"telephone_number": "201-925-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 SHAKER BLVD STE 136",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441043833",
"telephone_number": "216-368-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ROHIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "APP-000593674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.