Active NPI
Charles B Swisher, D.D.S.
- General Practice Dentistry
- Charlottesville, VA
National Provider Identifier
1205159282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401412466
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412466 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Charlottesville, VA
- NPI 1871894550
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.