Individual provider Active NPI

Nicholas Minutella, D.D.S.

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1245524925
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14949 Issued in MD
Practice address
2320 Commonwealth Dr
Charlottesville, VA 22901-1622
Phone
(434) 978-1510
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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 14949 MD Primary

Addresses

Primary practice location

2320 Commonwealth Dr
Charlottesville, VA 22901-1622

Mailing address

2320 Commonwealth Dr
Charlottesville, VA 22901-1622
Phone (434) 978-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14949MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Blue Ridge Dental, PLC General Practice PastSince Jul 23, 2023 Accepting new patients
Crozet Blue Ridge Dental, PLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1245524925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 COMMONWEALTH DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011622",
            "telephone_number": "434-978-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 COMMONWEALTH DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011622",
            "telephone_number": "434-978-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINUTELLA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14949",
            "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 Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.