Organization Active NPI

William R Dandridge Jr MD

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1659494441
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101021049 Issued in VA
Legal business name
WILLIAM R DANDRIDGE JR MD
Practice address
1149 Rose Hill Dr
Charlottesville, VA 22903
Phone
(434) 977-6622
Fax
(434) 977-9808
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
William Robert Dandridge Jr., MD
Title
Owner
Phone
(434) 977-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101021049 VA Primary

Addresses

Primary practice location

1149 Rose Hill Dr
Charlottesville, VA 22903

Mailing address

1149 Rose Hill Dr
Charlottesville, VA 22903
Phone (434) 977-6622

Other identifiers 1

IdentifierTypeStateIssuer
CG0893OtherVAMEDICARE PIN

National Provider Directory

National Provider Directory

Locations

1149 Rose Hill Dr
Ste B
Charlottesvle, VA 22903
Phone (434) 977-6622

1149 Rose Hill Dr
Charlottesvle, VA 22903
Phone (434) 977-5255

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1659494441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22903",
            "telephone_number": "434-977-6622",
            "fax_number": "434-977-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 ROSE HILL DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22903",
            "telephone_number": "434-977-6622",
            "fax_number": "434-977-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R DANDRIDGE JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-977-6622",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101021049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "CG0893",
            "state": "VA"
        }
    ],
    "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 Nov 1, 2011; 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.