Individual provider Active NPI

Charles B Swisher, D.D.S.

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1205159282
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401412466 Issued in VA
Practice address
259 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8128
Phone
(434) 973-1222
Fax
(434) 973-2255
NPI assigned
Mar 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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 0401412466 VA Primary

Addresses

Primary practice location

259 Hydraulic Ridge Rd
Suite 203
Charlottesville, VA 22901-8128

Mailing address

1364 Stone Creek LN
Apt 308
Charlottesville, VA 22902-7159
Phone (434) 566-9868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2022 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401412466VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sapon & Swisher Dental PLLC General Practice Past 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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1205159282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 STONE CREEK LN",
            "address_2": "APT 308",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027159",
            "telephone_number": "434-566-9868",
            "fax_number": "434-473-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 HYDRAULIC RIDGE RD",
            "address_2": "SUITE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018128",
            "telephone_number": "434-973-1222",
            "fax_number": "434-973-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "CHARLES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.