Active NPI
South Side Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlottesville, VA
National Provider Identifier
1265757744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SOUTH SIDE ORTHODONTICS
- Practice address
- 32 Mill Creek Dr
Suite 107
Charlottesville, VA 22902-8718 - Phone
- (434) 977-9473
- Fax
- (434) 977-9417
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Markus Niepraschk, DDS
- Title
- Orthodontist
- Phone
- (434) 977-9473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
32 Mill Creek Dr
Suite 107
Charlottesville, VA 22902-8718
Mailing address
32 Mill Creek Dr
Suite 107
Charlottesville, VA 22902-8718
Phone (434) 977-9473
National Provider Directory
National Provider DirectoryLocations
32 Mill Creek Dr
Ste 107
Charlottesville, VA 22902
Phone (434) 977-9473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlottesville, VA
- NPI 1568638773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1265757744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MILL CREEK DR",
"address_2": "SUITE 107",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229028718",
"telephone_number": "434-977-9473",
"fax_number": "434-977-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MILL CREEK DR",
"address_2": "SUITE 107",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229028718",
"telephone_number": "434-977-9473",
"fax_number": "434-977-9417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SIDE ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "NIEPRASCHK",
"authorized_official_first_name": "MARKUS",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "434-977-9473",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"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 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.