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DR. RAJJU GUPTA DDS
NPI 1417443474
Dentist in Oklahoma City, OK

Active since July 02, 2018PECOS Enrolled
1040 NE 36TH ST, OKLAHOMA CITY, OK 73111(405) 967-7742 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Jul 2, 2018 (2 updates tracked since 2018).

About Dr. Rajju Gupta Dds NPPES

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

DR. RAJJU GUPTA DDS (NPI 1417443474) is an individual dentist in Oklahoma City, Oklahoma, licensed in Oklahoma (7084) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417443474
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. RAJJU GUPTACredential: DDS
Location Address1040 NE 36TH STOklahoma City, OK 73111-5002
Mailing Address5908 Regis CtEdmond, OK 73034-8010 · (346) 413-9976
Phone(405) 967-7742
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 2, 2018
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1417443474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 7084
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1040 NE 36TH ST, Oklahoma City, OK 73111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rajju Gupta Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082184577
PECOS Enrollment IDI20260526003156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

WILLIAM CLARK DDS INC
Dentist (General Practice)
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 427-5405
DR. DREXY PEARL TORRES ANCOG DDS
Dentist (General Practice)
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 967-7742
W.A. CLARK, D.D.S., P.L.L.C.
Dentist
1040 NE 36TH ST
OKLAHOMA CITY, OK 73111
Oklahoma County (405) 427-5405

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 Rajju Gupta's NPI number?

The NPI number for Rajju Gupta is 1417443474. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Rajju Gupta located?

Rajju Gupta practices at 1040 NE 36th St, Oklahoma City, OK 73111. The listed phone number is (405) 967-7742.

What is Rajju Gupta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rajju Gupta enrolled in Medicare?

Yes. Rajju Gupta is registered in the Medicare PECOS enrollment system.

What insurance does Rajju Gupta accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Rajju Gupta 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 Rajju Gupta was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.