BRAD SPANO DDS, P.C. (NPI# 1437767670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437767670 |
| Entity Type | Organization |
| Organization Name | BRAD SPANO DDS, P.C. |
| Practice Address |
1200 Five Springs Rd Ste 101 Charlottesville VA 22902-8756 |
| Practice Telephone | 4349848828 |
| Mailing Telephone | 4349848828 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | BRAD SPANO (PRESIDENT) |
| Authorized Official Telephone | 4349848828 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Side Dental Center | Doing Business As Name - Organization |
| Street Address |
1200 FIVE SPRINGS RD STE 101 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707785 | Joseph Keith Nasworthy Jr. | Dentist | 1200 Five Springs Rd Ste 101, Charlottesville, VA 22902-8756 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992260681 | Pks Dentistry Pllc | Clinic/Center | 1522 Insurance Ln Ste B, Charlottesville, VA 22911-7229 | 2019-02-06 |
| 1093166837 | Mohammed Almzayyen, Dds, Pllc | Clinic/Center | 335 Greenbrier Dr Ste 204, Charlottesville, VA 22901-1695 | 2016-06-23 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1255683751 | James M Bronson, Dds, PC | Clinic/Center | 3054 Berkmar Dr, Unit A, Charlottesville, VA 22901-3407 | 2012-10-08 |
| 1225256159 | Gilrain and Brooks, D.d.s., P.C. | Clinic/Center | 1461 Greenbrier Pl, Charlottesville, VA 22901-1697 | 2007-04-23 |
| 1356413744 | Ed A Akeel | Clinic/Center | 2013 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2006-11-14 |
| 1669908224 | Albert Family Dentistry | Clinic/Center | 90 Whitewood Rd, Suite #3, Charlottesville, VA 22901-1668 | 2017-05-02 |
| 1497187769 | Piedmont Pediatric Dentistry Plc | Clinic/Center | 240 Hydraulic Ridge Rd, Suite 203, Charlottesville, VA 22901-8130 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284679 | Dr Gina Askander PC | Clinic/Center | 4660 Kenmore Ave Ste 318, Alexandria, VA 22304-1306 | 2020-10-29 |
| 1992303242 | Anderson Dental Associates IIi, Pllc | Clinic/Center | 15609 Wingspan Ct, Woodbridge, VA 22193-1103 | 2020-10-09 |
| 1952914970 | Azul Family Dentistry LLC | Clinic/Center | 9605 Critzers Shop Rd, Afton, VA 22920-2416 | 2020-08-28 |
| 1083225429 | Long Ridge Dentistry, PC | Clinic/Center | 2780 Stuarts Draft Hwy Ste 102, Stuarts Draft, VA 24477-2779 | 2020-08-10 |
| 1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
| 1912525908 | Carabella Dental | Clinic/Center | 420 South Pickett Street, Alexandria, VA 22304-2230 | 2020-07-07 |
| 1669097044 | Lortontown Dental | Clinic/Center | 9010 Lorton Station Blvd Ste 135, Lorton, VA 22079-4794 | 2020-06-11 |
| 1578187035 | Karande Dental Care | Clinic/Center | 2063 Jefferson Davis Hwy Ste 1, Stafford, VA 22554-7291 | 2020-06-01 |
| 1326662917 | Hideki Seto, Dds Pllc | Clinic/Center | 8551 Rixlew Ln Ste 130, Manassas, VA 20109-4277 | 2020-05-30 |
| 1891316469 | Aldie Dental Care, Pllc | Clinic/Center | 24560 Southpoint Dr Ste 210, Aldie, VA 20105-3504 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.