1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Dentist
  6. NPI Profile

ANDRE MORAN-CORPENO DDS
NPI 1316434640
Dentist - General Practice in Baltimore, MD

Active since April 23, 2018PECOS Enrolled
650 W BALTIMORE ST, BALTIMORE, MD 21201(410) 706-2940 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 24, 2025, Dec 10, 2021, Jul 22, 2021 and 3 more (6 updates tracked since 2018).

About Andre Moran-corpeno Dds NPPES

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

ANDRE MORAN-CORPENO DDS (NPI 1316434640) is an individual general practice provider in Baltimore, Maryland, licensed in Maryland (18637) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rockville.

NPPES Registry Identity

NPI1316434640
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANDRE MORAN-CORPENOCredential: DDS
Location Address650 W BALTIMORE STBaltimore, MD 21201-1510
Mailing Address650 W Baltimore StBaltimore, MD 21201-1510 · (410) 706-2940
Phone(410) 706-2940
Sole ProprietorNo
Enumeration DateApril 23, 2018
Last NPPES UpdateJune 24, 20256 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1316434640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 18637
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.
650 W BALTIMORE ST, Baltimore, MD 21201
Open in Google Maps ↗

Secondary Practice Location 1

Location 19630 Gudelsky DrRockville, MD 20850-3481 · Phone (410) 706-2940

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)

Andre Moran-corpeno 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

DR. DONITA DYALRAM MD
Oral & Maxillofacial Surgery
650 W BALTIMORE ST, SUITE 1401
BALTIMORE, MD 21201
Baltimore City (410) 706-6195
DR. MARIA TIBBS DDS
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (540) 999-8167
MRS. LIGUORI ANNE TEWES
Dental Hygienist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-7153
OZMA KHUSHBAKTH
Student in an Organized Health Care Education/Training Program
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-7101
DR. KATELYN N MALCHESTER DDS
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (443) 848-5192
JANET YELLOWITZ DMD, MPH
Dentist
650 W BALTIMORE ST, #3211
BALTIMORE, MD 21201
Baltimore City (410) 706-7254
PATRICIA KAY MCAULEY
Student in an Organized Health Care Education/Training Program
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-2716
DR. MARY ANNE SAMPAIO DE MELO DDS, MS, PHD
Dentist
650 W BALTIMORE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-8705

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 Andre Moran-corpeno's NPI number?

The NPI number for Andre Moran-corpeno is 1316434640. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Andre Moran-corpeno located?

Andre Moran-corpeno practices at 650 W Baltimore St, Baltimore, MD 21201. The listed phone number is (410) 706-2940.

What is Andre Moran-corpeno's specialty?

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

Is Andre Moran-corpeno enrolled in Medicare?

Yes. Andre Moran-corpeno is registered in the Medicare PECOS enrollment system.

What insurance does Andre Moran-corpeno 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 Florida Combined Life and 2 other insurers list Andre Moran-corpeno 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 Andre Moran-corpeno was last updated on June 24, 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.