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DR. KELLY JAMES MOORE DDS
NPI 1396847216
Dentist - General Practice in Rockford, IL

Active since September 01, 2006
6075 VANTAGE PL, ROCKFORD, IL 61107(815) 399-9040(815) 399-9336 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kelly James Moore Dds NPPES

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

DR. KELLY JAMES MOORE DDS (NPI 1396847216) is an individual general practice provider in Rockford, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396847216
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY JAMES MOORECredential: DDS
Location Address6075 VANTAGE PLRockford, IL 61107-5905
Mailing Address404 James AveRockford, IL 61107-4626 · (815) 399-7757
Phone(815) 399-9040
Fax(815) 399-9336
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396847216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
6075 VANTAGE PL, Rockford, IL 61107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. LINDSAY DANIELLE MOORE DMD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
THOMAS H. MOORE D.D.S. LTD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
DR. RYAN THOMAS MOORE DMD
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
THOMAS H. MOORE DDS LTD
Clinic/Center (Dental)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
DR. SAMUEL MOORE WALLDEN D.M.D.
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-0677
KELLY J. MOORE D.D.S., P.C.
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Winnebago County (815) 399-9040

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1396847216. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Kelly Moore located?

Kelly Moore practices at 6075 Vantage Pl, Rockford, IL 61107. The listed phone number is (815) 399-9040.

What is Kelly Moore's specialty?

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

What insurance does Kelly Moore accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly 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 Kelly Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.