Individual provider Active NPI

Madison Wallace Saunders, DDS

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1629588066
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415721 Issued in VA
Practice address
2701 Hydraulic Road
Suite 103
Charlottesville, VA 22901-9059
Phone
(434) 973-4301
NPI assigned
Oct 11, 2017
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 0401415721 VA
General Practice Dentistry 1223G0001X 0401415721 VA Primary

Addresses

Primary practice location

2701 Hydraulic Road
Suite 103
Charlottesville, VA 22901-9059

Mailing address

2701 Hydraulic Rd Suite 103
Charlottesville, VA 22901-9059
Phone (434) 973-4301

Other practice location 1

1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Phone (434) 924-1774

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-1774

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
I20260318003286 VA Practitioner - EndodonticsPractitioner - Dentist 5294219168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndodonticsAlso: Dentist
Education
Virginia Commonwealth Univ School of Dentistry, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415721VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
Rector & Visitors of the University of Virginia Past Accepting new patients

Locations

1222 Jefferson Park Ave
Fl 2
Charlottesville, VA 22903
Phone (434) 924-1774

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1629588066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 HYDRAULIC RD SUITE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019059",
            "telephone_number": "434-973-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HYDRAULIC ROAD",
            "address_2": "SUITE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019059",
            "telephone_number": "434-973-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 Jefferson Park Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033410",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MADISON",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401415721",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.