IndividualActive
Vikram Ganupur
NPI 1104104512 · General Practice Dentistry · Clovis, NM
Vikram Ganupur is a General Practice Dentistry provider in Clovis, NM (NPI 1104104512).
Provider details
- NPI number
- 1104104512
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DD3568 (NM)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4017 N Prince St
Clovis, NM 88101-9705
Phone: (847) 915-3040
Street-level locationGet directions
Mailing address
2610 Weddington Rdg Ne
Marietta, GA 30068-2279
Registry dates
- Enumerated
- 2011-08-02
- Last updated
- 2011-08-02
Frequently asked questions
- What is Vikram Ganupur's NPI number?
- Vikram Ganupur's National Provider Identifier (NPI) is 1104104512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vikram Ganupur's specialty?
- Vikram Ganupur is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Vikram Ganupur located?
- Vikram Ganupur's practice location on file with NPPES is 4017 N Prince St, Clovis, NM 88101-9705.
- What is Vikram Ganupur's phone number?
- The practice phone number listed in the NPPES registry for Vikram Ganupur is (847) 915-3040.
- Is Vikram Ganupur's NPI active?
- Yes — Vikram Ganupur's NPI (1104104512) is active in the NPPES registry as of the last update on 2011-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.