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ALEX MOORE DMD, MS
NPI 1124557228
Dentist in Rockford, IL

Active since June 12, 2017PECOS Enrolled
6050 BRYNWOOD DR STE 205, ROCKFORD, IL 61114(816) 201-5955(815) 201-5956 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2025, Nov 11, 2019, Jun 12, 2017 (3 updates tracked since 2017).

About Alex Moore Dmd, Ms NPPES

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

ALEX MOORE DMD, MS (NPI 1124557228) is an individual dentist in Rockford, Illinois, licensed in Wisconsin (1001449-15) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124557228
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameALEX MOORECredential: DMD, MS
Location Address6050 BRYNWOOD DR STE 205Rockford, IL 61114-6579
Mailing Address6050 Brynwood Dr Ste 205Rockford, IL 61114-6579 · (815) 621-6060
Phone(816) 201-5955
Fax(815) 201-5956
Sole ProprietorNo
Enumeration DateJune 12, 2017
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1124557228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 1001449-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6050 BRYNWOOD DR STE 205, Rockford, IL 61114
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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

✔

Enrolled in Medicare (PECOS)

Alex Moore Dmd, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 3

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

CHRISTOPHER GREENWALDT, DMD, P.C.
Dentist (Endodontics)
6050 BRYNWOOD DR STE 205
ROCKFORD, IL 61114
Winnebago County (815) 201-5955
CHRISTOPHER LEE GREENWALDT DMD
Dentist (Endodontics)
6050 BRYNWOOD DR STE 205
ROCKFORD, IL 61114
Winnebago County (815) 201-5955
ALEX MOORE, DMD PC
Dentist (Endodontics)
6050 BRYNWOOD DR STE 205
ROCKFORD, IL 61114
Winnebago County (815) 201-5955

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 Alex Moore's NPI number?

The NPI number for Alex Moore is 1124557228. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Alex Moore located?

Alex Moore practices at 6050 Brynwood Dr Ste 205, Rockford, IL 61114. The listed phone number is (816) 201-5955.

What is Alex Moore's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Alex Moore enrolled in Medicare?

Yes. Alex Moore is registered in the Medicare PECOS enrollment system.

What insurance does Alex 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 and 1 other insurer list Alex 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 Alex Moore was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.