Organization Active NPI

Gagan Uppal DDS Corporation

  • Dental Clinic/Center
  • Irvine, CA
National Provider Identifier
1609214204
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
55640 Issued in CA
Legal business name
GAGAN UPPAL DDS CORPORATION
Practice address
5405 Alton Pkwy Ste F
Irvine, CA 92604-3719
Phone
(949) 262-0300
Fax
(949) 262-0303
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Gagan Uppal
Title
DMD
Phone
(949) 262-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 55640 CA Primary

Addresses

Primary practice location

5405 Alton Pkwy Ste F
Irvine, CA 92604-3719

Mailing address

5405 Alton Pkwy Ste F
Irvine, CA 92604-3719
Phone (949) 262-0300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1609214204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-262-0300",
            "fax_number": "949-262-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 ALTON PKWY STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043719",
            "telephone_number": "949-262-0300",
            "fax_number": "949-262-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGAN UPPAL DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "949-262-0300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.