Active NPI
John T. Will, D.D.S.
- Dental Anesthesiology
- Charlottesville, VA
National Provider Identifier
1407001811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 040142934
- Practice address
- 1470 Pantops Mountain PL Ste 1
Charlottesville, VA 22911-4662 - Phone
- (434) 817-1817
- NPI assigned
- Nov 26, 2008
- Last updated
- Oct 5, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57656 | CA | |
| Dental Anesthesiology | 1223D0004X | 9109 | TN | |
| Dental Anesthesiology | 1223D0004X | 040142934 | VA | Primary |
Addresses
Primary practice location
1470 Pantops Mountain PL Ste 1
Charlottesville, VA 22911-4662
Mailing address
211 Spruce St
Charlottesville, VA 22902-5940
Phone (931) 212-3197
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 |
|---|---|---|---|
| 57656 | CA | MD | Dentist |
| 9109 | TN | MD | Dentist Anesthesiologist |
| 040142934 | VA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Will, DDS, PLLC | Dental Anesthesiology | Current | Accepting new patients |
| A (Plus) Dental Associates, Inc. | Dental Anesthesiology | Past | Accepting new patients |
| John T. Will, D.D.S. | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Anesthesiology
- Danville, VA
- NPI 1184255101
-
- Dentist
- Charlottesville, VA
- NPI 1265813042
-
- General Practice Dentistry
- Lawrenceburg, TN
- NPI 1255564340
Dental Anesthesiology
-
- General Practice Dentistry
- Lawrenceburg, TN
- NPI 1548558943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1407001811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SPRUCE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025940",
"telephone_number": "931-212-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 PANTOPS MOUNTAIN PL STE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229114662",
"telephone_number": "434-817-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILL",
"first_name": "JOHN",
"middle_name": "T.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-26",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57656",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "TN",
"license": "9109",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "VA",
"license": "040142934",
"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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.