Organization Active NPI

Brazile and Moorehead PLLC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1760134746
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRAZILE AND MOOREHEAD PLLC
Practice address
8700 Pineville Matthews Rd Ste 920
Charlotte, NC 28226-4748
Phone
(704) 968-6558
NPI assigned
Jan 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Tatyania Moorehead, DDSNPI 1659831618
Title
Owner
Phone
(704) 968-6558

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

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

Mailing address

763 Prospect LN
Fort Mill, SC 29708-8164

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1760134746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 PROSPECT LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088164"
        },
        {
            "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": "704-968-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZILE AND MOOREHEAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "MOOREHEAD",
        "authorized_official_first_name": "TATYANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-968-6558",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 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.