Active NPI
Sean Michael Horan, D.D.S.
- Endodontics
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4092
- Practice address
- 9000 Coombs Farm Rd Ste 304
Morgantown, WV 26508-1150 - Phone
- (304) 594-1670
- NPI assigned
- Apr 10, 2013
- Last updated
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4092 | WV | |
| Endodontics | 1223E0200X | DS041545 | PA | |
| Endodontics | 1223E0200X | 16621 | MD | |
| Endodontics | 1223E0200X | 4092 | WV | Primary |
Addresses
Primary practice location
9000 Coombs Farm Rd Ste 304
Morgantown, WV 26508-1150
Mailing address
9000 Coombs Farm Rd Ste 304
Morgantown, WV 26508-1150
Other practice location 1
1415 River Ave
Cumberland, MD 21502-4611
Phone (240) 362-7017
Other practice location 2
204 Mary Higginson Ln # 100
Uniontown, PA 15401-2657
Phone (724) 438-0600
Other practice location 3
1215 Johnson Ave Ste 1
Bridgeport, WV 26330-1389
Phone (304) 842-0590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130813000477 | OH | Order and Referring Only - Oral Surgery | 0345482832 | |
| I20160415000156 | WV | Order and Referring Only - Oral Surgery | 0345482832 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16621 | MD | MD | Endodontist |
| DS041545 | PA | MD | Endodontist |
| 4092 | WV | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Dental, PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1235572033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 COOMBS FARM RD STE 304",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 COOMBS FARM RD STE 304",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081150",
"telephone_number": "304-594-1670"
}
],
"practiceLocations": [
{
"address_1": "1415 River Ave",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215024611",
"country_code": "US",
"telephone_number": "240-362-7017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 Mary Higginson Ln # 100",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "PA",
"postal_code": "154012657",
"country_code": "US",
"telephone_number": "724-438-0600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Johnson Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263301389",
"country_code": "US",
"telephone_number": "304-842-0590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORAN",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4092",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS041545",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MD",
"license": "16621",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WV",
"license": "4092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.