Deepak Gupta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037606 Issued in PA

Practice address

93 Airport Rd
Hazleton, PA 18202-9366

Phone

(570) 453-0555

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1750547154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189",
            "telephone_number": "315-454-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 AIRPORT RD",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029366",
            "telephone_number": "570-453-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "DEEPAK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Gregory, CRNP
• Griguoli Chiropractic & Rehabilitation Center, P.C.
• Anthony Rocco Griguoli, DC
• Christopher John Grink, MSPT
• Lisa Ann Gryskevicz, OTRL
• Joshua Gurin, BA
• Ashly Gutierrez Badia, PA-C
• Pedro Guzman, MD
• Amanda Kathryn Gwiazdowski, LPC
• Hand 2 Hand Therapy, LLC

• General Practice Dentistry in Hazleton, PA
• Providers in Hazleton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.