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DR. DAVID JOHN CONNELLY D.D.S.
NPI 1205033644
Dentist - Endodontics in Charlottesville, VA

Active since June 29, 2007PECOS Enrolled
2701 HYDRAULIC RD STE 103, CHARLOTTESVILLE, VA 22901(434) 973-4301 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Jul 24, 2020 (2 updates tracked since 2020).

About Dr. David John Connelly D.d.s. NPPES

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

DR. DAVID JOHN CONNELLY D.D.S. (NPI 1205033644) is an individual endodontics provider in Charlottesville, Virginia, licensed in Virginia (0401411609) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205033644
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. DAVID JOHN CONNELLYCredential: D.D.S.
Location Address2701 HYDRAULIC RD STE 103Charlottesville, VA 22901-9059
Mailing Address2701 Hydraulic Rd Ste 103Charlottesville, VA 22901-9059 · (434) 409-9192
Phone(434) 973-4301
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1205033644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in VA · 0401411609
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
2701 HYDRAULIC RD STE 103, Charlottesville, VA 22901
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Other Names 1

Former Name (1)Dr. David John Coon D.d.s.

Secondary Practice Locations 2

Location 11222 Jefferson Park AveCharlottesville, VA 22903-3410 · Phone (434) 924-1774 · Fax (434) 982-6417
Location 21215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-1774 · Fax (434) 243-6378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David John Connelly D.d.s. 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.

Medicare Billing Reassignment

Medicare enrollment records show David Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
3.2 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 David Connelly's NPI number?

The NPI number for David Connelly is 1205033644. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Dr. David John Coon D.D.S..

Where is David Connelly located?

David Connelly practices at 2701 Hydraulic Rd Ste 103, Charlottesville, VA 22901. The listed phone number is (434) 973-4301.

What is David Connelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is David Connelly enrolled in Medicare?

Yes. David Connelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Connelly reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Connelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list David Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Connelly was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.