Individual provider Active NPI

Gabrielle Moon Morales, DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1710546189
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9390 Issued in SC
Practice address
1204 Two Island CT
Mount Pleasant, SC 29466-7436
Phone
(843) 881-8881
NPI assigned
Jun 10, 2019
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9390 SC Primary

Addresses

Primary practice location

1204 Two Island CT
Mount Pleasant, SC 29466-7436

Mailing address

1204 Two Island CT
Mount Pleasant, SC 29466-7436
Phone (843) 881-8881

Other names 1

  • Dr. Gabrielle Moon Nockowitz Former name

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
Riccobene & Associates CCC, DDS, PC General Practice CurrentSince Apr 13, 2025 Accepting new patients
Pleasant Family Dentistry General Practice PastSince Apr 13, 2025 Accepting new patients
Forest Crossing Family Dental, LLC General Practice PastSince Jul 25, 2019 Accepting new patients

Locations

1204 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 881-8881

Organizations & group practices 3

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1710546189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 TWO ISLAND CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667436",
            "telephone_number": "843-881-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 TWO ISLAND CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667436",
            "telephone_number": "843-881-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "GABRIELLE",
        "middle_name": "MOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLE",
            "last_name": "NOCKOWITZ",
            "middle_name": "MOON",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.