1. Home
  2. Directory
  3. California
  4. Sacramento
  5. Dentist
  6. NPI Profile

DEREK MOORE D.M.D.
NPI 1285067728
Dentist in Sacramento, CA

Active since August 20, 2013PECOS Enrolled
1916 25TH ST, SACRAMENTO, CA 95816(530) 355-0548 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Moore D.m.d. NPPES

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

DEREK MOORE D.M.D. (NPI 1285067728) is an individual dentist in Sacramento, California, licensed in California (62828) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285067728
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDEREK MOORECredential: D.M.D.
Location Address1916 25TH STSacramento, CA 95816-7214
Mailing Address1916 25th StSacramento, CA 95816-7214
Phone(530) 355-0548
Sole ProprietorYes
Enumeration DateAugust 20, 2013
✔ NPI 1285067728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62828
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.
1916 25TH ST, Sacramento, CA 95816
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Moore D.m.d. 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 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 Derek Moore's NPI number?

The NPI number for Derek Moore is 1285067728. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Derek Moore located?

Derek Moore practices at 1916 25th St, Sacramento, CA 95816. The listed phone number is (530) 355-0548.

What is Derek Moore's specialty?

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

Is Derek Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Moore was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.