Active NPI
Chander Gupta, DMD
- Periodontics
- Skokie, IL
National Provider Identifier
1801333026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021002990
- Practice address
- 4905 Old Orchard Ctr Ste 310
Skokie, IL 60077-4740 - Phone
- (847) 982-0640
- NPI assigned
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 021002990 | IL | Primary |
Addresses
Primary practice location
4905 Old Orchard Ctr Ste 310
Skokie, IL 60077-4740
Mailing address
4905 Old Orchard Ctr Ste 310
Skokie, IL 60077-4740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021002990 | IL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Orchard Periodontics & Implant Dentistry LTD | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Skokie, IL
- NPI 1821139171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1801333026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 OLD ORCHARD CTR STE 310",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 OLD ORCHARD CTR STE 310",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600774740",
"telephone_number": "847-982-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "CHANDER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021002990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.