DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1235546813
Dentist - Oral and Maxillofacial Surgery in Beckley, WV
NPI Status: Active since July 16, 2014
Contact Information
150 BROOKSHIRE LN
BECKLEY, WV
ZIP 25801
Phone: (304) 345-1092
Fax: (304) 345-5080
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 51D2088630
- CLIA Cert. Type: Other - ORAL & MAXILLOFACIAL SURG
- CLIA Exp. Date: 12-15-2026
About DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
This page provides the complete NPI Profile along with additional information for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc, a provider established in Beckley, West Virginia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1235546813 assigned on July 2014. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lesley Marie Coyner (Credentialing)
- NPI
- 1235546813
- Provider Name
- DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
- Entity Type
- Organization
- Location Address
- 150 BROOKSHIRE LN BECKLEY, WV 25801
- Location Phone
- (304) 345-1092
- Location Fax
- (304) 345-5080
- Mailing Address
- 103 STATION PLACE WAY HURRICANE, WV 25526
- Mailing Phone
- (304) 720-7819
- Mailing Fax
- (304) 345-5080
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2014
- Last Update Date
- 05-29-2025
- Code Navigator
A dentist like Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2088630
- Facility Type
- Other - ORAL & MAXILLOFACIAL SURG
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- CHRISTY ESTEP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 5 | 4 | 6 | 8 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 10 | 4 | 12 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 0 + 4 + 1 + 2 + 8 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1235546813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285742270 | DR. JOSEPH M. DUDA Organization | Clinic/Center (Oral and Maxillofacial Surgery) | 150 BROOKSHIRE LN BECKLEY, WV 25801 (304) 255-1411 |
| 1972610509 | DR. JOSEPH MATTHEW DUDA DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 150 BROOKSHIRE LN BECKLEY, WV 25801 (304) 255-1411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235546813, enumerated in the NPI registry as an "organization" on July 16, 2014
The provider is located at 150 Brookshire Ln Beckley, Wv 25801 and the phone number is (304) 345-1092
This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 51D2088630 for a "other - oral & maxillofacial surg" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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