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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA LEE IRIZARRY DMD
NPI 1184366114
Dentist - Oral and Maxillofacial Surgery in Charlottesville, VA

Active since April 11, 2022PECOS Enrolled
244 HYDRAULIC RIDGE RD, CHARLOTTESVILLE, VA 22901(434) 973-3348 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2022, Apr 11, 2022 (2 updates tracked since 2022).

About Breanna Lee Irizarry Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA LEE IRIZARRY DMD (NPI 1184366114) is an individual oral and maxillofacial surgery provider in Charlottesville, Virginia, licensed in Virginia (0442000445) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184366114
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameBREANNA LEE IRIZARRYCredential: DMD
Location Address244 HYDRAULIC RIDGE RDCharlottesville, VA 22901-8124
Mailing Address244 Hydraulic Ridge RdCharlottesville, VA 22901-8124 · (434) 973-3348
Phone(434) 973-3348
Sole ProprietorYes
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1184366114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 0442000445
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
244 HYDRAULIC RIDGE RD, Charlottesville, VA 22901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Lee Irizarry Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ELIZABETH SNOW SUMMERS DMD, MD
Oral & Maxillofacial Surgery
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. TONU THOMAS KANGUR D.D.S.
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. PETER W EISENHARDT D.D.S.
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
CENTRAL VIRGINIA ORAL & FACIAL SURGEONS, PLC
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. W. JACKSON FAIRCLOTH JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. ROSS GEMMILL DDS
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. KEITH DANIEL JACKSON DMD
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 973-3348
DR. EDWARD SULLIVAN AMRHEIN DDS
Dentist (Oral and Maxillofacial Surgery)
244 HYDRAULIC RIDGE RD
CHARLOTTESVILLE, VA 22901
Albemarle County (434) 977-3348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Irizarry's NPI number?

The NPI number for Breanna Irizarry is 1184366114. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Breanna Irizarry located?

Breanna Irizarry practices at 244 Hydraulic Ridge Rd, Charlottesville, VA 22901. The listed phone number is (434) 973-3348.

What is Breanna Irizarry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Breanna Irizarry enrolled in Medicare?

Yes. Breanna Irizarry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Irizarry was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.