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JACOB MOORHEAD DMD
NPI 1922746858
Dentist - General Practice in Mesa, AZ

Active since May 20, 2022
1130 S COUNTRY CLUB DR STE 101, MESA, AZ 85210(480) 461-9866 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 17, 2023, May 20, 2022 (2 updates tracked since 2022).

About Jacob Moorhead Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MOORHEAD DMD (NPI 1922746858) is an individual general practice provider in Mesa, Arizona, licensed in Arizona (D011356) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1922746858
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB MOORHEADCredential: DMD
Location Address1130 S COUNTRY CLUB DR STE 101Mesa, AZ 85210-4639
Mailing Address1130 S Country Club Dr Ste 101Mesa, AZ 85210-4639 · (480) 461-9866
Phone(480) 461-9866
Sole ProprietorYes
Enumeration DateMay 20, 2022
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1922746858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D011356
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1130 S COUNTRY CLUB DR STE 101, Mesa, AZ 85210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABRAHAM MILLER DDS
Dentist
1130 S COUNTRY CLUB DR STE 101
MESA, AZ 85210
Maricopa County (480) 461-9866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Moorhead's NPI number?

The NPI number for Jacob Moorhead is 1922746858. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Jacob Moorhead located?

Jacob Moorhead practices at 1130 S Country Club Dr Ste 101, Mesa, AZ 85210. The listed phone number is (480) 461-9866.

What is Jacob Moorhead's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jacob Moorhead accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jacob Moorhead as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Moorhead was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.