DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1346201183
Dentist - Oral and Maxillofacial Surgery in Charleston, WV
NPI Status: Active since March 31, 2006
Contact Information
1215 VIRGINIA ST E
CHARLESTON, WV
ZIP 25301
Phone: (304) 345-1092
Fax: (304) 345-5080
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
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 Charleston, West Virginia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1346201183 assigned on March 2006. 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 provider's
- NPI
- 1346201183
- Provider Legal Name
- DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1215 VIRGINIA ST E CHARLESTON, WV 25301
- 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
- 03-31-2006
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4500012000 | MEDICAID (05) | WV | |
| 000817140 | OTHER (01) | WV | MT. STATE BCBS |
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 | 3 | 4 | 6 | 2 | 0 | 1 | 1 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 0 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 0 + 2 + 1 + 1 + 6 + 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 1346201183 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 |
|---|---|---|---|
| 1790768562 | DR. JACK ISSAC KRAJEKIAN D.M.D. Individual | Dentist (Oral and Maxillofacial Surgery) | 1215 VIRGINIA ST E CHARLESTON, WV 25301 (304) 345-1092 |
| 1457693020 | DR. JOSE GREGORIO RAVELO DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1215 VIRGINIA ST E CHARLESTON, WV 25301 (304) 345-1092 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346201183, enumerated in the NPI registry as an "organization" on March 31, 2006
The provider is located at 1215 Virginia St E Charleston, Wv 25301 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.
This NPI record was last updated on March 31, 2006. 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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