Som Nath Gupta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS020601L Issued in PA

Practice address

625 Allegheny River Blvd
Verona, PA 15147-1201

Phone

(412) 828-1920

Fax

(412) 828-8989

NPI assigned

Aug 2, 2006

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Som N. Gupta D.D.S.P.C.

  • General Practice Dentistry
  • Verona, PA
  • NPI 1164653366
  NPD (past) Authorized official
• Heartland Dental Care of Pennsylvania, P.C.

  dba Verona Dental Care

  • General Practice Dentistry
  • Verona, PA
  • NPI 1356772958
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1669489316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ALLEGHENY RIVER BLVD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151471201",
            "telephone_number": "412-828-1920",
            "fax_number": "412-828-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ALLEGHENY RIVER BLVD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151471201",
            "telephone_number": "412-828-1920",
            "fax_number": "412-828-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SOM",
        "middle_name": "NATH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020601L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giant Eagle, Inc. (Giant Eagle Pharmacy #2435)
• Jessica Gray, PA-C
• William John Gray, D.M.D.
• Abigail Elizabeth Grove, COTA/L
• Lori Gunter
• Sumit Gupta, DDS
• Norman Gustafson, OTR
• H & a Smith Enterprises LLC (Luv & Care Home Care)
• Nicolas Haines, PHARMD
• Tracy Hancharik, PTA

• Dentist in Verona, PA
• Providers in Verona, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.