DR. KAVITA GUPTA (NPI# 1194894626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194894626 |
| Entity Type | Individual |
| Full Name | DR. KAVITA GUPTA |
| Credential | DDS |
| Practice Address |
1200 S York Rd Suite 3110 Elmhurst IL 60126-5626 |
| Practice Telephone | 6307826999 |
| Practice Fax Number | 6307826790 |
| Mailing Telephone | 6307826999 |
| Mailing Fax Number | 6307826790 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019023007 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 019023007 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946174 | Kavita Gupta | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2019-05-02 |
| 1144724162 | Kavita Gupta | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2018-03-23 |
| 1245643162 | Kavita Gupta | Registered Nurse | 1001 Rio Vista Dr, Fallon Tribal Health Center, Fallon, NV 89406-5463 | 2014-06-09 |
| 1073833554 | Kavita Gupta | Internal Medicine | 388 Pompton Ave, Suite 4, Cedar Grove, NJ 07009-1814 | 2010-06-07 |
| 1871797449 | Kavita Omprakash Gupta | Pediatrics | 301 University Blvd, Galveston, TX 77555-0462 | 2007-06-14 |
| 1699745828 | Kavita Gupta | Physical Medicine & Rehabilitation | 705 White Horse Rd, Ste D101, Voorhees, NJ 08043-2468 | 2006-01-23 |
| Street Address |
1200 S YORK RD SUITE 3110 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 1730606583 | Leann R Rushing | Physician Assistant | 1200 S York Rd, Sutie 2000, Elmhurst, IL 60126 | 2017-08-23 |
| 1518211325 | Chicago Neurological Surgery P.C. | Neurological Surgery | 1200 S York Rd, Suite 4280, Elmhurst, IL 60126-5626 | 2012-10-31 |
| 1649522582 | Jennifer L Specht | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1972855815 | Ilea K Pavel | Physical Therapist | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2012-10-02 |
| 1619260304 | Maribeth Maney | Nurse Practitioner | 1200 S York Rd, Suite 3100, Elmhurst, IL 60126-5626 | 2011-05-27 |
| 1508164898 | Hinsdale Orthopaedic Associates Sc | Specialist | 1200 S York Rd, Suite 4110, Elmhurst, IL 60126-5626 | 2011-03-10 |
| 1619283264 | Midwest Hand Surgery Sc | Clinic/Center | 1200 S York Rd, Suite 3200, Elmhurst, IL 60126-5626 | 2010-08-20 |
| 1194039669 | Michelle Jackowski | Advanced Practice Midwife | 1200 S York Rd, #4120, Elmhurst, IL 60126 | 2010-07-27 |
| 1952632101 | Rama R Dandamudi Md Sc | Surgery | 1200 S York Rd, 4250, Elmhurst, IL 60126-5626 | 2010-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1275172538 | New York Smiles Elmhurst | Dentist | 8111 45th Ave Apt 1j, Elmhurst, NY 11373-3515 | 2020-01-03 |
| 1255723219 | Linda Hong Pan | Dentist | 8823 Saint James Ave, Elmhurst, NY 11373-3948 | 2015-02-28 |
| 1588055560 | Victoria Grannan D.d.s. Ltd | Dentist | 340 W Butterfield Rd Ste 1d, Elmhurst, IL 60126-5047 | 2015-02-11 |
| 1437567138 | Victoria C. Teran | Dentist | 42-37 Hampton St. - 1p, Elmhurst, NY 11373 | 2014-07-25 |
| 1548685357 | Ideal Smile Dental, P.C. | Dentist | 9123 Queens Blvd # B, Elmhurst, NY 11373-5531 | 2014-03-03 |
| 1407121692 | Family Dentistry of Elmhurst | Dentist | 4005 81st St, Elmhurst, NY 11373-1302 | 2012-03-20 |
| 1669766051 | O & S Dental Pllc | Dentist | 8905 Elmhurst Ave, Unit A17, Elmhurst, NY 11373-1537 | 2011-06-03 |
| 1467758433 | Rose Marykaw Cuasui Dds,pc | Dentist | 8330 Vietor Ave Ste 102, Elmhurst, NY 11373-3260 | 2011-02-08 |
| 1104139922 | Elliot Ng | Dentist | 8609 Justice Ave, Elmhurst, NY 11373-4555 | 2010-07-21 |
| Find all providers in ELMHURST | ||||
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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.