Individual provider Active NPI

Marielle Gutknecht

  • Dentist
  • Richmond, VA
National Provider Identifier
1992605729
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401420211 Issued in VA
Practice address
9930 Independence Park Dr Ste 102
Richmond, VA 23233-1475
Phone
(804) 575-7994
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401420211 VA Primary

Addresses

Primary practice location

9930 Independence Park Dr Ste 102
Richmond, VA 23233-1475

Mailing address

9930 Independence Park Dr Ste 102
Richmond, VA 23233-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1992605729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331475",
            "telephone_number": "804-575-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTKNECHT",
        "first_name": "MARIELLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401420211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.