DR. DAVID DWIGHT MOORE JR. D.D.S.
NPI 1225204407
Dentist - Endodontics in San Mateo, CA

Active since May 07, 2008Opted out of Medicare · through Nov 10, 2027
235 N SAN MATEO DR, SUITE 400, SAN MATEO, CA 94401(650) 340-0225 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David Dwight Moore Jr. D.d.s. NPPES

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

DR. DAVID DWIGHT MOORE JR. D.D.S. (NPI 1225204407) is an individual endodontics provider in San Mateo, California, licensed in California (59684) and active in the NPI registry since May 2008. He has opted out of Medicare through November 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225204407
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. DAVID DWIGHT MOORE JR.Credential: 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) 340-0225
Sole ProprietorNo
Enumeration DateMay 7, 2008
Last NPPES UpdateSeptember 3, 2010
NPI 1225204407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in CA · 59684
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

Other Identifiers 1

OtherR394MN · Resident Permit

Accepted 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

Dr. David Dwight Moore Jr. 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 10, 2015 through November 10, 2027.

Opt-Out Effective DateNovember 10, 2015
Opt-Out In Effect ThroughNovember 10, 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.

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.

Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
Dentist (Periodontics)
235 N SAN MATEO DR, 100
SAN MATEO, CA 94401
Oral & Maxillofacial Surgery
235 N SAN MATEO DR, SUITE 600
SAN MATEO, CA 94401
Dentist (Endodontics)
235 N SAN MATEO DR, SUITE 400
SAN MATEO, CA 94401
Dentist (Periodontics)
235 N SAN MATEO DR, 100
SAN MATEO, CA 94401
Dentist
235 N SAN MATEO DR, #200
SAN MATEO, CA 94401

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 David Moore's NPI number?

The NPI number for David Moore is 1225204407. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is David Moore located?

David Moore practices at 235 N San Mateo Dr Suite 400, San Mateo, CA 94401. The listed phone number is (650) 340-0225.

What is David Moore's specialty?

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

Is David Moore enrolled in Medicare?

No. David Moore has opted out of Medicare through November 10, 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 David 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 David 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 David Moore was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.