Gupta'S Dental Office

Primary specialty

DentistTaxonomy code 122300000X

License

36370 Issued in CA

Legal business name

GUPTA'S DENTAL OFFICE

Practice address

11623 Cherry Ave Ste B2
Fontana, CA 92337-1212

Phone

(909) 355-1485

Fax

(909) 355-2715

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jugal Kishore Gupta, D.D.S.

Title

Dentist/Owner

Phone

(909) 355-1485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1992945893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 CHERRY AVE STE B2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371212",
            "telephone_number": "909-355-1485",
            "fax_number": "909-355-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 CHERRY AVE STE B2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371212",
            "telephone_number": "909-355-1485",
            "fax_number": "909-355-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUGAL",
        "authorized_official_middle_name": "KISHORE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-355-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arun Kumar Gupta, D.D.S.
• Jugal K Gupta, DDS
• Ravinder Gupta, D.D.S.
• Shikha Gupta, RPH
• Shilpa Gupta, D.D.S
• Guru Medical Care LLC
• Cynthia Edick Gutierrez, RD
• Leanne Lachica Gutierrez, OTD, OTR/L
• Lilibeth Guzman Romero
• Aliza Guzman

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.