Individual provider Active NPI

Wayne David Remington, DDS

  • Dentist
  • Charlottesville, VA
National Provider Identifier
1053416685
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006110 Issued in VA
Practice address
1522B Insurance LN
Charlottesville, VA 22911-7229
Phone
(434) 973-7744
Fax
(434) 975-0250
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401-006110 VA
Dentist 122300000X 0401006110 VA Primary

Addresses

Primary practice location

1522B Insurance LN
Charlottesville, VA 22911-7229

Mailing address

1522B Insurance LN
Charlottesville, VA 22911-7229
Phone (434) 973-7744

Other practice location 1

1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone (434) 924-1774

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-7229
Phone (434) 924-0211

Other identifiers 1

IdentifierTypeStateIssuer
54-1829449OtherVATAXPAYER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206001408 VA Practitioner - Dentist 7810150349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401-006110VAMDDentist
0401006110VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 5, 2022 Accepting new patients
PKS Dentistry PLLC Past Accepting new patients

Locations

1222 Jefferson Park Ave
Fl 3
Charlottesville, VA 22903

1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1053416685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522B INSURANCE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117229",
            "telephone_number": "434-973-7744",
            "fax_number": "434-975-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522B INSURANCE LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117229",
            "telephone_number": "434-973-7744",
            "fax_number": "434-975-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 Jefferson Park Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033410",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "fax_number": "434-243-6378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229087229",
            "country_code": "US",
            "telephone_number": "434-924-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMINGTON",
        "first_name": "WAYNE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401-006110",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER ID #",
            "identifier": "54-1829449",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.