DR. NIDHI GUPTA D.M.D. NPI 1780737627

NPI Information

NPI: 1780737627
Provider Name: DR. NIDHI GUPTA, D.M.D.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
1050 W BLUE RIDGE BLVD
KANSAS CITY, MO
ZIP 64145
Phone: (913) 669-6129
Get Directions

DR. Nidhi Gupta, D.M.D. is an oral and maxillofacial surgery dentist in Kansas City, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Nidhi Gupta, D.M.D. NPI is 1780737627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 W BLUE RIDGE BLVD
KANSAS CITY, MO
ZIP 64145-216
Phone: (913) 669-6129
Fax: (913) 281-6405

The NPI 1780737627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/22/2007 and was last updated on 1/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	2019002294	MISSOURI	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2019002294	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1014638	MEDICAID	VERMONT
2	30004631500002	MEDICAID	KANSAS
3	432249499	MEDICAID	MAINE
4	1780737627	OTHER	MISSOURI	NPI
5	47D0660981	MEDICAID	VERMONT
6	400071252	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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