Chitvan Gupta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056999 Issued in NY

Practice address

70 Glen St Ste 240
Glen Cove, NY 11542-2859

Phone

(516) 759-0086

NPI assigned

Oct 6, 2009

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

Other names 1

• Unknown Chitvan Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

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.

• Long Island Dentist, PC

  dba Wilton Smiles

  • Dentist
  • Wilton, CT
  • NPI 1538521703
  NPD (past)

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1881929057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN ST STE 240",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422859",
            "telephone_number": "518-248-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN ST STE 240",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422859",
            "telephone_number": "516-759-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "CHITVAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UNKNOWN",
            "last_name": "CHITVAN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Kolmer Grommet
• Wendy S Grossman, SPEECH THERAPIST
• Anna Lizza Lopez Guevara, M.D.
• Scott Gulbransen, MHC-LP
• Stephanie Nakiye Gungor, MS, RD, CNSC, CDN
• Neal Gupta, M.D.
• Susan Bressi Hamilton, AUD
• Harbour Medical Supply LLC
• Harry D Tawfik MD PC
• Herbert S. Perry MD PC

• General Practice Dentistry in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.