NPIMap

Organization Active NPI

Charlottesville Blue Ridge Dental, PLC

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1538849880
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
Practice address
2320 Commonwealth Dr
Charlottesville, VA 22901-1622
Phone
(434) 978-1510
Fax
(434) 978-2857
NPI assigned
Jul 21, 2023
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Jessica Hunter
Title
Director of Network Relations
Phone
(704) 780-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2320 Commonwealth Dr
Charlottesville, VA 22901-1622

Mailing address

19810 W Catawba Ave Ste A1
Cornelius, NC 28031-4056
Phone (704) 997-8878

National Provider Directory

National Provider Directory

Locations

2320 Commonwealth Dr
Charlottesville, VA 22901
Phone (434) 978-1510

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1538849880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19810 W CATAWBA AVE STE A1",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314056",
            "telephone_number": "704-997-8878"
        },
        {
            "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",
            "fax_number": "434-978-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK RELATIONS",
        "authorized_official_telephone_number": "704-780-4597"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Apr 9, 2026; 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.