Nisha Punjabi Gupta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022075 Issued in OH

Practice address

34100 Center Ridge Rd
North Ridgeville, OH 44039-5311

Phone

(440) 327-0027

Fax

(440) 327-0027

NPI assigned

Jan 30, 2007

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1770629024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35201 EMORY DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114932",
            "telephone_number": "734-417-2781",
            "fax_number": "440-327-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34100 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395311",
            "telephone_number": "440-327-0027",
            "fax_number": "440-327-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NISHA",
        "middle_name": "PUNJABI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maridali Gonzalez
• Kathy M Green, L.P.N
• Deborah Greeney, P.T.
• Cynthia Griebeler
• Ankur Ajay Gupta, D.D.S.
• Brenden Hales, DC
• Brittany Marie Hall
• Halle N Waters DMD Inc
• Kathleen Haney
• Craig Kurt Harris, MD

• General Practice Dentistry in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.