Organization Active NPI

Michelle D. Brown DDS, & Michael B. Moore DDS, Inc.

Doing business as Oceana Dental Center

  • General Practice Dentistry
  • Oceana, WV
National Provider Identifier
1518066356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
-002 Issued in WV
Legal business name
MICHELLE D. BROWN DDS, & MICHAEL B. MOORE DDS, INC.
Doing business as
Oceana Dental Center
Practice address
1427 Ritchie Street & Cook Parkway
Oceana, WV 24870-1438
Phone
(304) 682-6104
Fax
(304) 682-6157
NPI assigned
Sep 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michelle Dawne Brown, DDSNPI 1386728889
Title
President
Phone
(304) 682-6104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X -002 WV Primary

Addresses

Primary practice location

1427 Ritchie Street & Cook Parkway
Oceana, WV 24870-1438

Mailing address

PO Box 1438
Oceana, WV 24870-1438
Phone (304) 682-6104

Other identifiers 1

IdentifierTypeStateIssuer
3810004900MedicaidWV

Other names 1

  • Oceana Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1518066356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248701438",
            "telephone_number": "304-682-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 RITCHIE STREET & COOK PARKWAY",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248701438",
            "telephone_number": "304-682-6104",
            "fax_number": "304-682-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE D. BROWN DDS, & MICHAEL B. MOORE DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DAWNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-682-6104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004900",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceana Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceana, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.