Active NPI
Kevin Mark Albert, D.D.S.
- Dentist
- Charlottesville, VA
National Provider Identifier
1306258298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401414423
- Practice address
- 2320 Commonwealth Dr
Charlottesville, VA 22901-1622 - Phone
- (434) 978-1510
- NPI assigned
- May 27, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401414423 | VA | Primary |
Addresses
Primary practice location
2320 Commonwealth Dr
Charlottesville, VA 22901-1622
Mailing address
1507 Wilton Farm Rd
Charlottesville, VA 22911-7648
Phone (330) 717-4633
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414423 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlottesville Blue Ridge Dental, PLC | Past | Accepting new patients | |
| Albert Family Dentistry | 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.
-
- Dental Clinic/Center
- Charlottesville, VA
- NPI 1669908224
-
- General Practice Dentistry
- Charlottesville, VA
- NPI 1538849880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1306258298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WILTON FARM RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229117648",
"telephone_number": "330-717-4633"
},
{
"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": "ALBERT",
"first_name": "KEVIN",
"middle_name": "MARK",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401414423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Albemarle Orthopaedics and Rehabilitation, PLLC
- Albemarle Pediatric Ophthalmology & Strabismus PC
- Albemarle Physical Therapy
- Kimberly Albero, DNP FNP-BC
- Albert Family Dentistry
- Thomas Albert, M.D.
- Thomas Newell Albert, DPT, PT, ATC, CSCS
- Ashley R Alberts
- Jeffrey Scott Alberts, MD
- Dana P. Albon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.