Individual provider Active NPI

Hal M Lippard, DDS

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1093735862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401005111 Issued in VA
Practice address
505 Faulconer Dr
Suite 1D
Charlottesville, VA 22903-4981
Phone
(434) 293-9311
Fax
(434) 293-2105
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401005111 VA Primary

Addresses

Primary practice location

505 Faulconer Dr
Suite 1D
Charlottesville, VA 22903-4981

Mailing address

505 Faulconer Dr
Suite 1D
Charlottesville, VA 22903-4981
Phone (434) 293-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161110001563 PA Order and Referring Only - DentistPractitioner - Dentist 4183903388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401005111VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Wellness Center of Virginia PLLC PastSince Aug 10, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093735862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 FAULCONER DR",
            "address_2": "SUITE 1D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034981",
            "telephone_number": "434-293-9311",
            "fax_number": "434-293-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 FAULCONER DR",
            "address_2": "SUITE 1D",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034981",
            "telephone_number": "434-293-9311",
            "fax_number": "434-293-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPARD",
        "first_name": "HAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.