Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013163260 Individual Practitioner Male Practitioner

Siddharth Gupta , BDS, MS

Dentist - Periodontics • Austin, TX

Professional Overview & Biography Verified Profile Summary

Siddharth Gupta, BDS, MS is a registered healthcare professional specializing in Dentist - Periodontics in Austin, TX. Practice services are available at 12319 N MOPAC EXPY STE 160 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12319 N Mopac Expy Ste 160

Austin, TX 787582648

Telephone 5122225721
Associated Practice Facility / Clinic
🏢 Texas Periodontists Pc Facility NPI 1467132159

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
36 Specialists

Practicing in Austin, TX (511 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-20
Dentist - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License TX 24143

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.

Secondary Practice Locations

6301 W Parmer Ln, Suite 606

Austin, TX 787296801

Phone: 5129180888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Shiyamali Sundararajan

Dentist - Periodontics

NPI 1679254544
Dr. Sreevidya Bodapati , DDS, MS

Dentist - Periodontics

NPI 1851582415

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 20, 2020

Registered at 12319 N MOPAC EXPY STE 160, AUSTIN, TX 787582648 (Tel: 5122225721)

📍
Updated Business Mailing Address July 20, 2020

Registered at 12319 N MOPAC EXPY STE 160, AUSTIN, TX 787582648 (Tel: 5122225721)

NPI Profile Active October 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2010

Registered at 6301 W PARMER LN, SUITE 606, AUSTIN, TX 787296801 (Tel: 5129180888)

📍
Updated Business Mailing Address October 02, 2010

Registered at 1308 ECHO RIDGE LN, CEDAR PARK, TX 786134560 (Tel: 5129180888)

👤
Provider Name / Credentials Updated October 02, 2010

Recorded as SIDDHARTH GUPTA, BDS,MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2010

Dentist (License #24143 in TX)

🟢
Initial NPI Registration & Enumeration August 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013163260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2008
Last Update: July 20, 2020
Sole Proprietor: Yes

Mailing Address

12319 N Mopac Expy Ste 160

Austin, TX 787582648

Phone: 5122225721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.