VICTORIA E. MOORE D.D.S.
NPI 1124117825
Dentist - Endodontics in San Mateo, CA

Q: What is Victoria Moore's NPI number?

The NPI number for Victoria Moore is 1124117825. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Victoria Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Victoria Moore enrolled in Medicare?

No. Victoria Moore has opted out of Medicare through November 9, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Victoria Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 12, 2006Opted out of Medicare · through Nov 9, 2027

235 N SAN MATEO DR, SUITE 400, SAN MATEO, CA 94401(650) 340-0228(650) 340-9111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Victoria E. Moore D.d.s. NPPES

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

VICTORIA E. MOORE D.D.S. (NPI 1124117825) is an individual endodontics provider in San Mateo, California, licensed in California (35765) and active in the NPI registry since October 2006. She has opted out of Medicare through November 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124117825

Entity TypeIndividualFemale

Primary Taxonomy1223E0200X

Provider Legal NameVICTORIA E. MOORECredential: D.D.S.

Location Address235 N SAN MATEO DR, SUITE 400San Mateo, CA 94401-2621

Mailing Address235 N San Mateo Dr, Suite 400San Mateo, CA 94401-2621 · (650) 340-0228 · Fax (650) 340-9111

Phone(650) 340-0228

Fax(650) 340-9111

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124117825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 35765

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

235 N SAN MATEO DR, San Mateo, CA 94401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Victoria E. Moore D.d.s. 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 November 9, 2015 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2015

Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

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

JESSY I TSENG D.D.S.

Dentist (Endodontics)

235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401

San Mateo County (650) 340-0228

DR. DAVID DWIGHT MOORE JR. D.D.S.

Dentist (Endodontics)

235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401

San Mateo County (650) 340-0225

BRENDA LAMB LEWIS

Dentist (Periodontics)

235 N SAN MATEO DR, 100
SAN MATEO, CA 94401

San Mateo County (650) 348-4030

RICHARD AGNEW FAGIN DDS

Oral & Maxillofacial Surgery

235 N SAN MATEO DR, SUITE 600
SAN MATEO, CA 94401

San Mateo County (650) 342-0213

FREDERICK R CHO D.D.S.

Dentist (Endodontics)

235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401

San Mateo County (650) 340-0228

BRYAN I. POPE

Dentist (Periodontics)

235 N SAN MATEO DR, 100
SAN MATEO, CA 94401

San Mateo County (650) 348-4030

STEPHEN WAYNE NELSON DDS

Dentist

235 N SAN MATEO DR, #200
SAN MATEO, CA 94401

San Mateo County (650) 348-7464

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 Victoria Moore's NPI number?

The NPI number for Victoria Moore is 1124117825. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Victoria Moore located?

Victoria Moore practices at 235 N San Mateo Dr Suite 400, San Mateo, CA 94401. The listed phone number is (650) 340-0228.

What is Victoria Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Victoria Moore enrolled in Medicare?

No. Victoria Moore has opted out of Medicare through November 9, 2027. 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.

What insurance does Victoria Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Victoria 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 Victoria Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.