Organization Active NPI

Sunshine Dental PLLC

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1679032619
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSHINE DENTAL PLLC
Practice address
4301 Connecticut Ave NW Ste 146
Washington, DC 20008-2386
Phone
(202) 244-4010
Fax
(202) 244-8847
NPI assigned
Mar 19, 2019
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Sareeta R Gupta, DDSNPI 1013050426
Title
Owner
Phone
(202) 244-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

4301 Connecticut Ave NW Ste 146
Washington, DC 20008-2386

Mailing address

4301 Connecticut Ave NW Ste 146
Washington, DC 20008-2386
Phone (202) 244-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190827001767 DC DME Supplier - Oral Surgery - Dentist 2769710888 Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

4301 Connecticut Ave NW
Ste 146
Washington, DC 20008
Phone (202) 244-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1679032619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 CONNECTICUT AVE NW STE 146",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082386",
            "telephone_number": "202-244-4010",
            "fax_number": "202-244-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CONNECTICUT AVE NW STE 146",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082386",
            "telephone_number": "202-244-4010",
            "fax_number": "202-244-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAREETA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-244-4010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.