Active NPI
Nicholas Hill, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Charlottesville, VA
National Provider Identifier
1902004526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401414741
- Practice address
- 2202 N Berkshire Rd Ste 201
Charlottesville, VA 22901-2761 - Phone
- (304) 542-6779
- NPI assigned
- Jul 5, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3767 | WV | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401414741 | VA | Primary |
Addresses
Primary practice location
2202 N Berkshire Rd Ste 201
Charlottesville, VA 22901-2761
Mailing address
1415 Rolkin CT Ste 101
Charlottesville, VA 22911-3643
Phone (434) 282-2275
Other practice location 1
78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 332-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2022 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3767 | WV | MD | General Practice Dentistry |
| 0401414741 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chevy Chase Implant & Oral Surgery. L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Chevy Chase, MD
- NPI 1518329614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1902004526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 ROLKIN CT STE 101",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229113643",
"telephone_number": "434-282-2275",
"fax_number": "434-282-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N BERKSHIRE RD STE 201",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229012761",
"telephone_number": "304-542-6779"
}
],
"practiceLocations": [
{
"address_1": "78 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Fishersville",
"state": "VA",
"postal_code": "229392332",
"country_code": "US",
"telephone_number": "540-332-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "3767",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401414741",
"primary": true
}
],
"identifiers": [],
"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 Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.