Nidhi Gupta, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2019002294 Issued in MO

Practice address

1050 W Blue Ridge Blvd
Kansas City, MO 64145-1216

Phone

(913) 669-6129

Fax

(913) 281-6405

NPI assigned

Jan 22, 2007

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Practice roles

Locations

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.

• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1689760076
  Medicare reassignment NPD
• Rem DDS, LLC

  dba Emergency Dental of Kansas City

  • Dental Clinic/Center
  • Kansas City, MO
  • NPI 1750970075
  NPD
• Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1477648327
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1780737627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321121",
            "telephone_number": "802-851-8603",
            "fax_number": "802-851-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W BLUE RIDGE BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451216",
            "telephone_number": "913-669-6129",
            "fax_number": "913-281-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 E Meyer Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321121",
            "country_code": "US",
            "telephone_number": "802-851-8603",
            "fax_number": "802-851-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NIDHI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019002294",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2019002294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004631500002",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400071252",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432249499",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014638",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47D0660981",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780737627",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sholder@emergencydentalusa.com",
            "affiliation": "N",
            "address_1": "1050 W Blue Ridge Blvd",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641451216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dongdan Guo, DDS
• Diane C Gupta, CCC-SLP
• Harsh Gupta, PHARMD
• Kashvi Gupta, MD, MPH
• Namita Gupta, MD
• Radhika Gupta, MD
• Rupal Christine Gupta, M.D.
• Sanjaya Kumar Gupta, MD
• Carol L Gurba, M.D.
• Danny M Gurba, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.