Active NPI
James K Vick, DDS
- Dentist
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415402
- Practice address
- 1222 Jefferson Park Ave
Charlottesville, VA 22903-3410 - Phone
- (434) 924-1774
- Fax
- (434) 243-6378
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | 0401415402 | VA | |
| Dentist | 122300000X | 0401415402 | VA | Primary |
Addresses
Primary practice location
1222 Jefferson Park Ave
Charlottesville, VA 22903-3410
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Other practice location 1
1215 Lee St
Charlottesville, VA 22908-5016
Phone (434) 924-1774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215502125 | Other | GROUP NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Tennessee HSC College of Dentistry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1222 Jefferson Park Ave
2ND Floor
Charlottesville, VA 22908-0740
Phone (434) 924-1774
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 79.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Vcu Oral-Facial Surgery and Services LLC | Orofacial Pain | Current | Accepting new patients |
Locations
1222 Jefferson Park Ave
Charlottesville, VA 22903
Phone (434) 924-1774
1222 Jefferson Park Ave
Fl 2
Charlottesville, VA 22903
Phone (434) 924-1774
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
521 N 12th St
Richmond, VA 23298
Phone (804) 828-2977
520 N 12th St
Richmond, VA 23298
Phone (804) 628-6637
521 N 11th St
Richmond, VA 23298
Phone (804) 828-3368
Interoperability endpoints
- jvick595224@direct.healthsystem.virginia.edu
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Richmond, VA
- NPI 1215502125
Orofacial Pain
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701475200000",
"number": "1881766830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 JEFFERSON PARK AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229033410",
"telephone_number": "434-924-1774",
"fax_number": "434-243-6378"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229085016",
"country_code": "US",
"telephone_number": "434-924-1774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICK",
"first_name": "JAMES",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2023-12-02",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "VA",
"license": "0401415402",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1215502125",
"state": null
}
],
"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 Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.