Individual provider Active NPI

Markus L Niepraschk, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlottesville, VA
National Provider Identifier
1568638773
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401411763 Issued in VA
Practice address
32 Mill Creek Dr Ste 107
Charlottesville, VA 22902-8718
Phone
(434) 977-9473
Fax
(434) 977-9417
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401411763 VA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5944-015 WI

Addresses

Primary practice location

32 Mill Creek Dr Ste 107
Charlottesville, VA 22902-8718

Mailing address

32 Mill Creek Dr Ste 107
Charlottesville, VA 22902-8718
Phone (434) 977-9473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130002417 VA Order and Referring Only - DentistPractitioner - Dentist 3476813007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5944-015WIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lombard Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics PastSince Jul 24, 2022 Accepting new patients
South Side Orthodontics Orthodontics and Dentofacial Orthopedics PastSince Aug 17, 2025 Accepting new patients
Legacy Orthodontics, PLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1568638773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MILL CREEK DR STE 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 STE 107",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028718",
            "telephone_number": "434-977-9473",
            "fax_number": "434-977-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEPRASCHK",
        "first_name": "MARKUS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401411763",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "5944-015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.