Individual provider Active NPI

Omar Garada, DDS

  • General Practice Dentistry
  • Crozet, VA
National Provider Identifier
1992339543
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401417551 Issued in VA
Practice address
5405 Ashlar Ave Apt 102
Crozet, VA 22932-1587
Phone
(434) 823-2385
NPI assigned
Feb 22, 2020
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401417551 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

5405 Ashlar Ave Apt 102
Crozet, VA 22932-1587

Mailing address

1354 Stone Creek LN Apt 307
Charlottesville, VA 22902-7161
Phone (434) 978-1510

Other practice location 1

2320 Commonwealth Dr
Charlottesville, VA 22901-1622
Phone (434) 924-1774

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804003642 VA Order and Referring Only - DentistPractitioner - Dentist 2668897810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401417551VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Blue Ridge Dental, PLC General Practice CurrentSince Jul 23, 2023 Accepting new patients
Crozet Blue Ridge Dental, PLC General Practice PastSince Jul 23, 2023 Accepting new patients

Locations

2320 Commonwealth Dr
Charlottesville, VA 22901
Phone (434) 260-5779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1992339543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 STONE CREEK LN APT 307",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229027161",
            "telephone_number": "434-978-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 ASHLAR AVE APT 102",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321587",
            "telephone_number": "434-823-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229011622",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "fax_number": "434-243-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARADA",
        "first_name": "OMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417551",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crozet, VA

Sources for this page

Verify at the official NPI Registry.