Active NPI
Dhruvesh Gupta, DDS
- General Practice Dentistry
- Spokane, WA
National Provider Identifier
1811728918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61578481
- Practice address
- 9405 N Newport Hwy
Spokane, WA 99218-1390 - Phone
- (509) 818-3657
- NPI assigned
- Aug 10, 2024
- Last updated
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61578481 | WA | Primary |
Addresses
Primary practice location
9405 N Newport Hwy
Spokane, WA 99218-1390
Mailing address
16609 E Desmet CT Apt G202
Spokane Valley, WA 99216-3566
Phone (628) 468-7133
Other practice location 1
223 W Ironwood Dr
Coeur D Alene, ID 83814-2651
Phone (208) 277-9321
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 |
|---|---|---|---|
| DE61578481 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1811728918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16609 E DESMET CT APT G202",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992163566",
"telephone_number": "628-468-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9405 N NEWPORT HWY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181390",
"telephone_number": "509-818-3657"
}
],
"practiceLocations": [
{
"address_1": "223 W Ironwood Dr",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838142651",
"country_code": "US",
"telephone_number": "208-277-9321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "DHRUVESH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-10",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61578481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.