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DR. PRATIK VINODKUMAR GUPTA DDS
NPI 1912427766
Dentist in Durham, NC

Active since June 22, 2017PECOS Enrolled
202 W NC HIGHWAY 54 STE 201, DURHAM, NC 27713(919) 205-2216(919) 590-1711 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2020, Jan 17, 2019, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Pratik Vinodkumar Gupta Dds NPPES

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

DR. PRATIK VINODKUMAR GUPTA DDS (NPI 1912427766) is an individual dentist in Durham, North Carolina, licensed in California (105850) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Schaumburg.

NPPES Registry Identity

NPI1912427766
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PRATIK VINODKUMAR GUPTACredential: DDS
Location Address202 W NC HIGHWAY 54 STE 201Durham, NC 27713-7564
Mailing Address602 Gabrielino DrIrvine, CA 92617-4107 · (817) 896-2865
Phone(919) 205-2216
Fax(919) 590-1711
Sole ProprietorNo
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1912427766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 105850✔ Licensed in WI · 1001615✔ Licensed in NC · 11217
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.
202 W NC HIGHWAY 54 STE 201, Durham, NC 27713
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Secondary Practice Location 1

Location 12050 E Algonquin Rd Ste 610Schaumburg, IL 60173-4166 · Phone (888) 988-4066 · Fax (888) 988-4066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Pratik Vinodkumar Gupta Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27713 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

PAREKH ALI & ASSOCIATES PLLC
Clinic/Center (Dental)
202 W NC HIGHWAY 54 STE 201
DURHAM, NC 27713
Durham County (518) 605-6501

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 Pratik Gupta's NPI number?

The NPI number for Pratik Gupta is 1912427766. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Pratik Gupta located?

Pratik Gupta practices at 202 W Nc Highway 54 Ste 201, Durham, NC 27713. The listed phone number is (919) 205-2216.

What is Pratik Gupta's specialty?

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

Is Pratik Gupta enrolled in Medicare?

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

What insurance does Pratik Gupta accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 6 other insurers list Pratik 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 Pratik Gupta was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.