DR. ALECIA A MOORE DMD
NPI 1114289394
Dentist - General Practice in Ellisville, MS
About Dr. Alecia A Moore Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALECIA A MOORE DMD (NPI 1114289394) is an individual general practice provider in Ellisville, Mississippi, licensed in Mississippi (3638-12) and active in the NPI registry since June 2012. She has opted out of Medicare through May 31, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Alecia A Moore Dmd 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 May 31, 2016 through May 31, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alecia Moore's NPI number?
The NPI number for Alecia Moore is 1114289394. It was assigned to this individual provider in the NPPES registry on June 13, 2012.
Where is Alecia Moore located?
Alecia Moore practices at 97 Hal Crocker Rd, Ellisville, MS 39437. The listed phone number is (601) 477-3779.
What is Alecia Moore's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Alecia Moore enrolled in Medicare?
No. Alecia Moore has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Alecia Moore was last updated on July 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Alecia A Moore, DMD · NPI 1114289394
General Practice provider in Ellisville, Mississippi. Individual provider, active in the CMS NPPES registry since June 13, 2012.
## Identity
- **NPI:** 1114289394 (Entity type: Individual)
- **Enumerated:** June 13, 2012
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 3638-12 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 97 HAL CROCKER RD, Ellisville, MS 39437-2088
- **Phone:** (601) 477-3779
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 31, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 3, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1114289394) · Data from the CMS NPPES public registry.