Active NPI
David John Connelly, D.D.S.
- Endodontics
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401411609
- Practice address
- 2701 Hydraulic Rd Ste 103
Charlottesville, VA 22901-9059 - Phone
- (434) 973-4301
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401411609 | VA | Primary |
Addresses
Primary practice location
2701 Hydraulic Rd Ste 103
Charlottesville, VA 22901-9059
Mailing address
2701 Hydraulic Rd Ste 103
Charlottesville, VA 22901-9059
Phone (434) 409-9192
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-1774
Other practice location 2
1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone (434) 924-1774
Other names 1
- Dr. David John Coon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endodontics
- Education
- Texas a & M University System, HSC, College of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients |
Locations
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1222 Jefferson Park Ave
Fl 2
Charlottesville, VA 22903
Phone (434) 924-1774
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
Interoperability endpoints
- dconnelly685011@direct.healthsystem.virginia.edu
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.
-
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- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1205033644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 HYDRAULIC RD STE 103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229019059",
"telephone_number": "434-409-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 HYDRAULIC RD STE 103",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229019059",
"telephone_number": "434-973-4301"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-1774",
"fax_number": "434-243-6378",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "434-982-6417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNELLY",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401411609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "COON",
"middle_name": "JOHN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.