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STEVEN J MOORE D.D.S.
NPI 1124163423
Dentist - General Practice in Tustin, CA

Active since February 21, 2007Opted out of Medicare · through Oct 11, 2026
13105 JAMBOREE RD, TUSTIN, CA 92782(714) 505-4867(714) 505-2827 Get Directions Write a Review

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

About Steven J Moore D.d.s. NPPES

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

STEVEN J MOORE D.D.S. (NPI 1124163423) is an individual general practice provider in Tustin, California, licensed in California (29632) and active in the NPI registry since February 2007. He has opted out of Medicare through October 11, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124163423
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTEVEN J MOORECredential: D.D.S.
Location Address13105 JAMBOREE RDTustin, CA 92782-9150
Mailing Address13105 Jamboree RdTustin, CA 92782-9150 · (714) 505-4867 · Fax (714) 505-2827
Phone(714) 505-4867
Fax(714) 505-2827
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124163423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 29632
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.
13105 JAMBOREE RD, Tustin, CA 92782
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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

Steven J 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 October 11, 2016 through October 11, 2026.

Opt-Out Effective DateOctober 11, 2016
Opt-Out In Effect ThroughOctober 11, 2026Opt-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 92782 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 2

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

DR. STEPHEN DONOGHUE DDS
Dentist (General Practice)
13105 JAMBOREE RD
TUSTIN, CA 92782
Orange County (714) 505-4867
STEPHEN DONOGHUE DDS INC
Clinic/Center (Dental)
13105 JAMBOREE RD
TUSTIN, CA 92782
Orange County (714) 505-4867

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 Steven Moore's NPI number?

The NPI number for Steven Moore is 1124163423. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Steven Moore located?

Steven Moore practices at 13105 Jamboree Rd, Tustin, CA 92782. The listed phone number is (714) 505-4867.

What is Steven Moore's specialty?

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

Is Steven Moore enrolled in Medicare?

No. Steven Moore has opted out of Medicare through October 11, 2026. 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 Steven 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.