Samir Gupta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041681 Issued in PA

Practice address

110 Lincoln Hwy
Fairless Hills, PA 19030-1011

Phone

(215) 269-6525

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1902383607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST APT 1411",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021322",
            "telephone_number": "412-855-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LINCOLN HWY",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190301011",
            "telephone_number": "215-269-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SAMIR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gold, DO
• Gregory R Gordon, MD
• Michael Albert Gorman, D.C.
• Katherine Maria Grinberg, PA-C
• Barbara Gronsky, PHD
• Malia Haines
• Sarah McDonald Halloran, MA COUNSELING SERVIC
• Andrea Halupa, RD, LDN
• Marissa Harrigan
• Troy C Hess, O.D.

• General Practice Dentistry in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.