NICHOLAS JAY MOORE DDS
NPI 1225695703
Dentist in Joplin, MO

Q: What is Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1225695703. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Nicholas Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Moore was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 21, 2019PECOS Enrolled

525 W 32ND STREET, JOPLIN, MO 64804(417) 781-5600(417) 868-8263 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, May 21, 2019 (2 updates tracked since 2019).

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About Nicholas Jay Moore Dds NPPES

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

NICHOLAS JAY MOORE DDS (NPI 1225695703) is an individual dentist in Joplin, Missouri, licensed in Missouri (2019016638) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225695703

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameNICHOLAS JAY MOORECredential: DDS

Location Address525 W 32ND STREETJoplin, MO 64804

Mailing Address401 Heritage Acres DriveJoplin, MO 64801 · (816) 699-0732

Phone(417) 781-5600

Fax(417) 868-8263

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

✔ NPI 1225695703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2019016638

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.

525 W 32ND STREET, Joplin, MO 64804

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Other Identifiers 1

Other2019016638MO · Missouri Professional License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Dominion National, Guardian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Jay Moore Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocates For A Healthy Community, Inc

69 mi

Federally Qualified Health Center (FQHC)

440 E TAMPA ST
Springfield, MO 65806

Reassigned Medicare billing, Missouri enrollment
182 clinicians in this Medicare group

NPI 1558303057 (417) 831-0150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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 Nicholas Moore's NPI number?

The NPI number for Nicholas Moore is 1225695703. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Nicholas Moore located?

Nicholas Moore practices at 525 W 32nd Street, Joplin, MO 64804. The listed phone number is (417) 781-5600.

What is Nicholas Moore's specialty?

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

Is Nicholas Moore enrolled in Medicare?

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

Which organization bills Medicare for Nicholas Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Moore reassigns Medicare benefits to Advocates For A Healthy Community, Inc (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Moore accept?

Health plans from BEST Life, Dominion National, Guardian, HRI Dental & Vision and Humana and 4 other insurers list Nicholas 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 Nicholas Moore was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.