DR. VIKRAM GANUPUR
NPI 1104104512
Dentist - General Practice in Clovis, NM

Active since August 02, 2011
4017 N PRINCE ST, CLOVIS, NM 88101(847) 915-3040 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vikram Ganupur NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIKRAM GANUPUR (NPI 1104104512) is an individual general practice provider in Clovis, New Mexico, licensed in New Mexico (DD3568) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1104104512
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VIKRAM GANUPUR
Location Address4017 N PRINCE STClovis, NM 88101-9705
Mailing Address2610 Weddington Rdg NeMarietta, GA 30068-2279 · (678) 923-1486
Sole ProprietorYes
Enumeration DateAugust 2, 2011
NPI 1104104512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NM · DD3568
Definition

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.

4017 N PRINCE ST, Clovis, NM 88101

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist (General Practice)
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist (General Practice)
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist
4017 N PRINCE ST
CLOVIS, NM 88101
Dentist
4017 N PRINCE ST
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vikram Ganupur's NPI number?

The NPI number for Vikram Ganupur is 1104104512. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Vikram Ganupur located?

Vikram Ganupur practices at 4017 N Prince St, Clovis, NM 88101. The listed phone number is (847) 915-3040.

What is Vikram Ganupur's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Vikram Ganupur accept?

Health plans from Humana list Vikram Ganupur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vikram Ganupur was last updated on August 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.