Active NPI
Akriti Jaura Gupta
- Dentist
- Duvall, WA
National Provider Identifier
1023684339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE70033706
- Practice address
- 14142 Main St NE Ste 104
Duvall, WA 98019-9007 - Phone
- (425) 354-3628
- NPI assigned
- May 28, 2021
- Last updated
- Sep 17, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE70033706 | WA | Primary |
Addresses
Primary practice location
14142 Main St NE Ste 104
Duvall, WA 98019-9007
Mailing address
2282 Hyland Ridge Dr
Charlottesville, VA 22911-3645
Phone (469) 407-8055
Other practice location 1
1936 W River Rd
Scottsville, VA 24590-4880
Phone (434) 286-3326
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 |
|---|---|---|---|
| DE70033706 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Willis VI DDS PLC | Dentist | Current | Accepting new patients |
Locations
1936 W River Rd
Scottsville, VA 24590
Phone (434) 286-3326
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1023684339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2282 HYLAND RIDGE DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113645",
"telephone_number": "469-407-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14142 MAIN ST NE STE 104",
"city": "DUVALL",
"state": "WA",
"postal_code": "980199007",
"telephone_number": "425-354-3628"
}
],
"practiceLocations": [
{
"address_1": "1936 W River Rd",
"address_purpose": "LOCATION",
"city": "Scottsville",
"state": "VA",
"postal_code": "245904880",
"country_code": "US",
"telephone_number": "434-286-3326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "AKRITI",
"middle_name": "JAURA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE70033706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.