Pratik Vinodkumar Gupta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105850 Issued in CA

Practice address

202 W NC Highway 54 Ste 201
Durham, NC 27713-7564

Phone

(919) 205-2216

Fax

(919) 590-1711

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alterman Dhillon and Associates

  dba Dixie Drive Dental

  • General Practice Dentistry
  • Morrisville, NC
  • NPI 1447765094
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1912427766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 GABRIELINO DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926174107",
            "telephone_number": "817-896-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W NC HIGHWAY 54 STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137564",
            "telephone_number": "919-205-2216",
            "fax_number": "919-590-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 E Algonquin Rd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734166",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "fax_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PRATIK",
        "middle_name": "VINODKUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001615",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11217",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neha Gupta
• Nidhi Mahendra Gupta, PHD, CCC-SLP
• Nishi Gupta, LCSW
• Olga Theresa Gupta, M.D.
• Pankaj Gupta, MD
• Rajan Gupta, M.D.
• Ritu Gupta
• Sandeepkumar Jagdishbhai Gupta, M.D.
• Saurabh C. Gupta, MD
• Urvi Gupta

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.