Individual provider Active NPI

Tatyania Moorehead

  • Dentist
  • Charlotte, NC
National Provider Identifier
1659831618
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11717 Issued in NC
Practice address
8700 Pineville Matthews Rd Ste 920
Charlotte, NC 28226-4748
Phone
(704) 336-9595
NPI assigned
Mar 24, 2019
Last updated
Mar 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9963 SC
Dentist 122300000X 11717 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

8700 Pineville Matthews Rd Ste 920
Charlotte, NC 28226-4748

Mailing address

8700 Pineville Matthews Rd Ste 920
Charlotte, NC 28226-4748
Phone (704) 336-9595

Other practice location 1

636 Crown Pointe Dr Ste 105
Rock Hill, SC 29730-4994
Phone (803) 329-4746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brazile and Moorehead PLLC Dentist CurrentSince Jan 26, 2022 Accepting new patients
Dr. Aisha O Moore DDS PC PastSince Aug 8, 2021 Accepting new patients

Locations

8700 Pineville Matthews Rd
Ste 920
Charlotte, NC 28226
Phone (704) 336-9595

Organizations & group practices 2

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1659831618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PINEVILLE MATTHEWS RD STE 920",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264748",
            "telephone_number": "704-336-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PINEVILLE MATTHEWS RD STE 920",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264748",
            "telephone_number": "704-336-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Crown Pointe Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297304994",
            "country_code": "US",
            "telephone_number": "803-329-4746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "TATYANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11717",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.