Individual provider Active NPI

Akriti Jaura Gupta

  • Dentist
  • Duvall, WA
National Provider Identifier
1023684339
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE70033706 Issued in WA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DE70033706WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James W Willis VI DDS PLC Dentist CurrentSince Nov 6, 2022 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.

Verify at the official NPI Registry.