Active NPI
Akanksha Gupta, BDS
- Orofacial Pain Dentistry
- Seattle, WA
National Provider Identifier
1356774954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- DE60807266
- Practice address
- 901 Boren Avenue
Suite #1776
Seattle, WA 98104 - Phone
- (206) 363-8240
- Fax
- (206) 363-8301
- NPI assigned
- Aug 19, 2013
- Last updated
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | DE60807266 | WA | Primary |
| Dentist | 122300000X | R580 | MN |
Addresses
Primary practice location
901 Boren Avenue
Suite #1776
Seattle, WA 98104
Mailing address
901 Boren Avenue
Suite #1776
Seattle, WA 98104
Phone (206) 363-8240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R580 | MN | MD | Dentist |
| DE60807266 | WA | MD | Orofacial Pain Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1356774954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BOREN AVENUE",
"address_2": "SUITE #1776",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-363-8240",
"fax_number": "206-363-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOREN AVENUE",
"address_2": "SUITE #1776",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-363-8240",
"fax_number": "206-363-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "AKANKSHA",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-19",
"last_updated": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "WA",
"license": "DE60807266",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "R580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.