Organization Active NPI

Gupta Dental Group, Inc.

  • Dentist
  • Fontana, CA
National Provider Identifier
1790185544
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36370 Issued in CA
Legal business name
GUPTA DENTAL GROUP, INC.
Practice address
16049 Baseline Ave Unit 3
Fontana, CA 92336-1830
Phone
(909) 356-9752
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dr. Jugal K Gupta, DDS
Title
Owner/President
Phone
(909) 356-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36370 CA Primary

Addresses

Primary practice location

16049 Baseline Ave Unit 3
Fontana, CA 92336-1830

Mailing address

16049 Baseline Ave Unit 3
Fontana, CA 92336-1830
Phone (909) 356-9752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1790185544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16049 BASELINE AVE UNIT 3",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361830",
            "telephone_number": "909-356-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16049 BASELINE AVE UNIT 3",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361830",
            "telephone_number": "909-356-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUGAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-356-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.