DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI 1356772677
Dentist - Oral and Maxillofacial Surgery in Parkersburg, WV
NPI Status: Active since December 12, 2013
Contact Information
417 GRAND PARK DR
SUITE 103
PARKERSBURG, WV
ZIP 26105
Phone: (304) 699-5010
Fax: (304) 553-7268
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 51D2088632
- CLIA Cert. Type: Other - ORAL & MAXILLOFACIAL SURG
- CLIA Exp. Date: 12-15-2026
About DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
This page provides the complete NPI Profile along with additional information for Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc, a provider established in Parkersburg, West Virginia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1356772677 assigned on December 2013. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1356772677
- Provider Legal Name
- DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 417 GRAND PARK DR SUITE 103 PARKERSBURG, WV 26105
- Location Phone
- (304) 699-5010
- Location Fax
- (304) 553-7268
- Mailing Address
- 103 STATION PLACE WAY HURRICANE, WV 25526
- Mailing Phone
- (304) 720-7819
- Mailing Fax
- (304) 553-7268
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2013
- Last Update Date
- 05-30-2025
- Code Navigator
A dentist like Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License State
- WV
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2088632
- Facility Type
- Other - ORAL & MAXILLOFACIAL SURG
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- CHRISTY ESTEP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356772677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
PARKERSBURG, WV 26105
PARKERSBURG, WV 26105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356772677, enumerated as an "organization" on December 12, 2013.
The provider is located at 417 GRAND PARK DR SUITE 103 PARKERSBURG, WV 26105 and the phone number is (304) 699-5010.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.
