DR. MICHAEL ALLEN MOORE D.M.D
NPI 1417032301
Dentist - General Practice in Detroit, MI

Q: What is Michael Moore's NPI number?

The NPI number for Michael Moore is 1417032301. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Michael Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael 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.

Active since October 26, 2006PECOS Enrolled

9200 GREENFIELD RD, DETROIT, MI 48228(313) 272-6500(313) 272-6726 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michael Allen Moore D.m.d NPPES

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

DR. MICHAEL ALLEN MOORE D.M.D (NPI 1417032301) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901015279) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417032301

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL ALLEN MOORECredential: D.M.D

Location Address9200 GREENFIELD RDDetroit, MI 48228-2202

Mailing Address9200 Greenfield RdDetroit, MI 48228-2202 · (313) 272-6500 · Fax (313) 272-6726

Phone(313) 272-6500

Fax(313) 272-6726

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417032301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901015279

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.

9200 GREENFIELD RD, Detroit, MI 48228

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan, DENCAP Dental Plans, Inc 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)

Dr. Michael Allen 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 48228 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1417032301. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Michael Moore located?

Michael Moore practices at 9200 Greenfield Rd, Detroit, MI 48228. The listed phone number is (313) 272-6500.

What is Michael Moore's specialty?

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

Is Michael Moore enrolled in Medicare?

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

What insurance does Michael Moore accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, DENCAP Dental Plans, Inc, Delta Dental of Michigan, Guardian and HRI Dental & Vision and 2 other insurers list Michael 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 Michael 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.