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BRYAN MOORE DDS
NPI 1013408830
Dentist - Oral and Maxillofacial Surgery in Arlington, TX

Active since May 29, 2018Opted out of Medicare · through Apr 22, 2027
2712 MATLOCK RD, ARLINGTON, TX 76015(817) 468-5400 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2024, Dec 12, 2022 (2 updates tracked since 2022).

About Bryan Moore Dds NPPES

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

BRYAN MOORE DDS (NPI 1013408830) is an individual oral and maxillofacial surgery provider in Arlington, Texas, licensed in Texas (38407) and active in the NPI registry since May 2018. He has opted out of Medicare through April 22, 2027.

NPPES Registry Identity

NPI1013408830
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRYAN MOORECredential: DDS
Location Address2712 MATLOCK RDArlington, TX 76015-2588
Mailing Address2712 Matlock RdArlington, TX 76015-2588
Phone(817) 468-5400
Sole ProprietorYes
Enumeration DateMay 29, 2018
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1013408830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 38407
Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2712 MATLOCK RD, Arlington, TX 76015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bryan Moore Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2025 through April 22, 2027.

Opt-Out Effective DateApril 22, 2025
Opt-Out In Effect ThroughApril 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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. JOHN V SHROYER DDS PA
Dentist (Oral and Maxillofacial Surgery)
2712 MATLOCK RD
ARLINGTON, TX 76015
Tarrant County (817) 468-5400

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 Bryan Moore's NPI number?

The NPI number for Bryan Moore is 1013408830. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Bryan Moore located?

Bryan Moore practices at 2712 Matlock Rd, Arlington, TX 76015. The listed phone number is (817) 468-5400.

What is Bryan Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bryan Moore enrolled in Medicare?

No. Bryan Moore has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Bryan Moore accept?

Health plans from Delta Dental PPO, Guardian and Humana list Bryan Moore 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 Bryan Moore was last updated on May 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.