NPIMap

Organization Active NPI

Charlottesville Dental Associates

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1285297622
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLOTTESVILLE DENTAL ASSOCIATES
Practice address
1227 Cedars CT
Charlottesville, VA 22903-5801
Phone
(434) 296-8043
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Opal Anderson
Title
Coo
Phone
(434) 296-8043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1227 Cedars CT
Charlottesville, VA 22903-5801

Mailing address

1227 Cedars CT
Charlottesville, VA 22903-5801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@charlottesvilledentalassociates.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1285297622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 CEDARS CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 CEDARS CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035801",
            "telephone_number": "434-296-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "434-296-8043"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@charlottesvilledentalassociates.com",
            "affiliation": "N",
            "address_1": "1227 Cedars Ct",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229035801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2022; 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.