Individual provider Active NPI

Brian R Rockey, D.D.S.

  • Dentist
  • Moundsville, WV
National Provider Identifier
1699970921
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3458 Issued in WV
Practice address
200 Teletech Drive
Building 1, Suite a
Moundsville, WV 26041-1423
Phone
(304) 845-0809
Fax
(304) 845-0499
NPI assigned
Jun 18, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3458 WV Primary

Addresses

Primary practice location

200 Teletech Drive
Building 1, Suite a
Moundsville, WV 26041-1423

Mailing address

200 Teletech Drive
Building 1, Suite a
Moundsville, WV 26041-1423
Phone (304) 845-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000083 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214222124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3458WVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shane K. Helms, D.D.S. Inc Past Accepting new patients
Brian R. Rockey D.D.S. Inc Past Accepting new patients

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1699970921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TELETECH DRIVE",
            "address_2": "BUILDING 1, SUITE A",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411423",
            "telephone_number": "304-845-0809",
            "fax_number": "304-845-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TELETECH DRIVE",
            "address_2": "BUILDING 1, SUITE A",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411423",
            "telephone_number": "304-845-0809",
            "fax_number": "304-845-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEY",
        "first_name": "BRIAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

Verify at the official NPI Registry.