Organization Active NPI

South Side Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlottesville, VA
National Provider Identifier
1265757744
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Aug 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Markus Niepraschk, DDSNPI 1568638773
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.