DR. SIDDHARTH GUPTA (NPI# 1013163260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013163260 |
| Entity Type | Individual |
| Full Name | DR. SIDDHARTH GUPTA |
| Credential | BDS,MS |
| Practice Address |
12319 N Mopac Expy Ste 160 Austin TX 78758-2648 |
| Practice Telephone | 5122225721 |
| Mailing Telephone | 5122225721 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
24143 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6301 W Parmer Ln, Suite 606, Austin, TX 787296801 | 5129180888 | 5129180886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083080543 | Siddharth Swarup Gupta | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Room - F-603, Division of Pediatric Education, Newark, NJ 07103-2757 | 2015-08-18 |
| Street Address |
12319 N MOPAC EXPY STE 160 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1821519349 | Alireza Torabi | Dentist | 5000 W Slaughter Ln Ste 203, Austin, TX 78749-4057 | 2017-07-06 |
| 1558774554 | Austin Perio Health | Dentist | 4310 Medical Pkwy Ste 201, Austin, TX 78756-3331 | 2014-06-06 |
| 1619393469 | Enrique Cruz | Dentist | 115 Sandra Muraida Way, Apt 631, Austin, TX 78703-4696 | 2014-03-17 |
| 1285074260 | Marcy Jo Watson | Dentist | 11615 Angus Rd Ste 101, Austin, TX 78759-4064 | 2013-07-05 |
| 1568717460 | Cuong Huy Ha | Dentist | 2500 W William Cannon Dr Ste 103, Austin, TX 78745-5287 | 2012-07-17 |
| 1760798979 | Kishore Sama | Dentist | 1110 W William Cannon Dr Ste 401, Austin, TX 78745-5498 | 2010-08-25 |
| 1114165685 | Joshua Roland Chapa | Dentist | 4310 Medical Pkwy Ste 120, Austin, TX 78756-3331 | 2009-01-21 |
| 1528286952 | Melanie Danielle Robinson | Dentist | 3305 Northland Dr Ste 204, Austin, TX 78731-5011 | 2007-04-23 |
| 1326183351 | Wan Hin Humphrey Ho | Dentist | 12854 Research Blvd, Austin, TX 78750-3222 | 2007-02-20 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.