Individual provider Active NPI

Sean Michael Horan, D.D.S.

  • Endodontics
  • Morgantown, WV
National Provider Identifier
1235572033
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4092 Issued in WV
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130813000477 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345482832
I20160415000156 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345482832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16621MDMDEndodontist
DS041545PAMDEndodontist
4092WVMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.