Organization Active NPI

Charlottesville Area Dental Access Inc

  • Pediatric Dentistry
  • Charlottesville, VA
National Provider Identifier
1861576332
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHARLOTTESVILLE AREA DENTAL ACCESS INC
Practice address
2778 Hydraulic Road
Suite 3
Charlottesville, VA 22901-8947
Phone
(434) 293-9300
Fax
(434) 973-9310
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Rebecca E Weybright
Title
Executive Director
Phone
(434) 293-9300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2778 Hydraulic Road
Suite 3
Charlottesville, VA 22901-8947

Mailing address

2778 Hydraulic Road
Suite 3
Charlottesville, VA 22901-8947
Phone (434) 293-9300

Other identifiers 1

IdentifierTypeStateIssuer
9179132MedicaidVA

Other names 1

  • Community Children's Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2778 Hydraulic Rd
Ste 3
Charlottesville, VA 22901
Phone (434) 293-9300

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861576332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 HYDRAULIC ROAD",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018947",
            "telephone_number": "434-293-9300",
            "fax_number": "434-973-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 HYDRAULIC ROAD",
            "address_2": "SUITE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018947",
            "telephone_number": "434-293-9300",
            "fax_number": "434-973-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE AREA DENTAL ACCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WEYBRIGHT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-293-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179132",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Children's Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; 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.