Organization Active NPI

Hugh Teller, DDS, PC

  • General Practice Dentistry
  • Charlottesville, VA
National Provider Identifier
1871811208
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007562 Issued in VA
Legal business name
HUGH TELLER, DDS, PC
Practice address
2202 N Berkshire Rd Ste 202
Charlottesville, VA 22901-2761
Phone
(434) 296-4012
Fax
(434) 829-0025
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Dr. Hugh Teller, DDS
Title
President
Phone
(434) 296-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007562 VA Primary

Addresses

Primary practice location

2202 N Berkshire Rd Ste 202
Charlottesville, VA 22901-2761

Mailing address

2202 N Berkshire Rd Ste 202
Charlottesville, VA 22901-2761
Phone (434) 296-4012

Other identifiers 1

IdentifierTypeStateIssuer
1558525493OtherVANPI

National Provider Directory

National Provider Directory

Locations

2202 N Berkshire Rd
Ste 202
Charlottesville, VA 22901
Phone (434) 296-4012

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1871811208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761",
            "telephone_number": "434-296-4012",
            "fax_number": "434-829-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761",
            "telephone_number": "434-296-4012",
            "fax_number": "434-829-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH TELLER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "TELLER",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-296-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558525493",
            "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 Jun 1, 2018; 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.