DR. GRACE ELIZABETH MOORE DDS
NPI 1235747171
Dentist - General Practice in Chicago, IL

Active since July 16, 2020
1610 W FULLERTON AVE, CHICAGO, IL 60614(630) 423-9646 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grace Elizabeth Moore Dds NPPES

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

DR. GRACE ELIZABETH MOORE DDS (NPI 1235747171) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (032763) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1235747171
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GRACE ELIZABETH MOORECredential: DDS
Location Address1610 W FULLERTON AVEChicago, IL 60614-2659
Mailing Address361 Millridge DrIndianapolis, IN 46290-1117 · (317) 371-0555
Sole ProprietorNo
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
NPI 1235747171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 032763
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.
1610 W FULLERTON AVE, Chicago, IL 60614

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (Endodontics)
1610 W FULLERTON AVE
CHICAGO, IL 60614
Dentist (General Practice)
1610 W FULLERTON AVE
CHICAGO, IL 60614
Dentist (General Practice)
1610 W FULLERTON AVE
CHICAGO, IL 60614
Dentist
1610 W FULLERTON AVE
CHICAGO, IL 60614

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 Grace Moore's NPI number?

The NPI number for Grace Moore is 1235747171. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Grace Moore located?

Grace Moore practices at 1610 W Fullerton Ave, Chicago, IL 60614. The listed phone number is (630) 423-9646.

What is Grace Moore's specialty?

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

What insurance does Grace Moore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Grace 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 Grace Moore was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.