Tina Gupta DDS PA II

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TINA GUPTA DDS PA II

Practice address

451 Ruin Creek Rd
Suite 201
Henderson, NC 27536-2878

Phone

(252) 572-2520

Fax

(252) 572-2527

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tina Gupta, DDS

Title

Dentist

Phone

(252) 572-2520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Studio of Henderson Doing business as

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1881904084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-572-2520",
            "fax_number": "252-572-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 201",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-572-2520",
            "fax_number": "252-572-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA GUPTA DDS PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "252-572-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Studio of Henderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susie Thomas
• Jackson Thompson, ATC
• Karen Allen Thompson, M.ED.,CCC-SLP
• Valerie Hartzog Thorn
• Kristina Thornton, PHARMD
• Bailee Elizabeth Tippett
• William Tippett, PHARM.D., R.PH
• Grace Togba
• Anita Tillotson Toney, LPC
• Henry Cutler Torrey, CPNP

• All providers in Henderson, NC
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.