Jessica McAuliffe, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415003 Issued in VA

Practice address

2202 N Berkshire Rd
Suite 203
Charlottesville, VA 22901-2761

Phone

(434) 293-9793

NPI assigned

Apr 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 5, 2016 through Jan 5, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spring Creek Family Dentistry & Orthodontics

  • Oral and Maxillofacial Pathology Dentistry
  • Gordonsville, VA
  • NPI 1881923654
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1154664787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761",
            "telephone_number": "434-293-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "JESSICA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415003",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank J. Mazzeo, M.D.
• Leigh Mazzone, LCSW
• Marcia Jean McAlpine, MD
• Steven Lee McAlpine, MD
• Jennifer G McArtor, MSW, LCSW
• Margaret B. McBride, M.ED.
• Michael B McCabe, M.D.
• Colin Gregory McCain, DDS
• Dylan McCaleb, MD
• Anthony L. McCall

• General Practice Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.