DRS KRAJEKIAN,BROCK & HENDERSON INC (NPI# 1235546813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235546813 |
| Entity Type | Organization |
| Organization Name | DRS KRAJEKIAN,BROCK & HENDERSON INC |
| Practice Address |
150 Brookshire Ln Beckley WV 25801 |
| Mailing Address |
200 Prestige Park Dr Hurricane WV 25526-8418 |
| Practice Telephone | 3043451092 |
| Practice Fax Number | 3043455080 |
| Mailing Telephone | 3043451092 |
| Mailing Fax Number | 3043455080 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2018-06-15 |
| Authorized Official Name | LESLEY MARIE COYNER (CREDENTIALING) |
| Authorized Official Telephone | 3043451092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1992766737 | Drs Krajekian,brock & Henderson Inc | Dentist | 100a Prestige Park Dr, Hurricane, WV 25526 | 2006-03-31 |
| 1801435003 | Drs Krajekian,brock & Henderson Inc | Dentist | 220 Locust St, Princeton, WV 24740-3626 | 2020-01-06 |
| 1447711858 | Drs Krajekian,brock & Henderson Inc | Dentist | 4307 Maccorkle Ave Se, Charleston, WV 25304-2500 | 2019-03-28 |
| 1003388117 | Drs Krajekian,brock & Henderson Inc | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101-2807 | 2018-12-31 |
| Street Address |
150 BROOKSHIRE LN |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610509 | Joseph Matthew Duda | Dentist | 150 Brookshire Ln, Beckley, WV 25801-6761 | 2006-08-23 |
| 1265654602 | Martin Ignacio Salgueiro | Dentist | 150 Brookshire Ln, Beckley, WV 25801-6761 | 2007-05-03 |
| 1285742270 | Dr. Joseph M. Duda | Clinic/Center | 150 Brookshire Ln, Beckley, WV 25801-6761 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610509 | Joseph Matthew Duda | Dentist | 150 Brookshire Ln, Beckley, WV 25801-6761 | 2006-08-23 |
| 1952331357 | Lawrence E Syner | Dentist | 750 Stanaford Rd, Beckley, WV 25801-8737 | 2006-07-03 |
| 1922080993 | Clarence Macdonald Worley Jr. | Dentist | 433 Carriage Dr, Beckley, WV 25801-2805 | 2005-11-16 |
| 1710518543 | Tkr Oral Maxillofacial Surgeons Corporation | Dentist | 914 Johnstown Rd, Beckley, WV 25801-4938 | 2020-01-30 |
| 1194364398 | Drs. Krajekian,brock & Henderson Inc | Dentist | 433 Carriage Dr, Beckley, WV 25801-2805 | 2020-01-06 |
| 1265654602 | Martin Ignacio Salgueiro | Dentist | 150 Brookshire Ln, Beckley, WV 25801-6761 | 2007-05-03 |
| 1649204405 | William M Wine | Dentist | 750 Stanaford Rd, Beckley, WV 25801-8737 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1104359959 | Appalachian Oral Surgery Center | Dentist | 3433 University Ave, Suite 1, Morgantown, WV 26505-3052 | 2017-04-09 |
| 1023318201 | James G Bryant Dmd | Dentist | 5000 Hampton Ctr Ste 1, Morgantown, WV 26505-1709 | 2010-10-22 |
| 1053561779 | Drs Krajekian,brock & Henderson Inc | Dentist | 3135 16th Street Rd, Suite 20, Huntington, WV 25701 | 2008-09-30 |
| 1255544748 | Nahla Chaudhary | Dentist | 1007 Sushruta Dr, Martinsburg, WV 25401-8876 | 2007-05-08 |
| 1164646725 | William A. Myers II Dmd Ltd | Dentist | 1191 Pineview Dr Ste D, Morgantown, WV 26505-2778 | 2007-04-12 |
| 1780729251 | Babak D. Noorbakhsh | Dentist | 2801 Dudley Ave Ste C, Parkersburg, WV 26101-2105 | 2007-02-21 |
| 1659442309 | Edward Elias Howard | Dentist | 1321 Virginia St E, Charleston, WV 25301 | 2006-11-13 |
| 1376614024 | Richard Lee Howard | Dentist | 1321 Virginia St East, Charleston, WV 25301 | 2006-11-13 |
| 1356420186 | Peter James Pangilinan | Dentist | 700 W Pike St, Suite 100, Clarksburg, WV 26301-2696 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.