DR. STEPHEN MORENO DDS
NPI 1447706049
Dentist - Oral and Maxillofacial Surgery in San Diego, CA

Q: What is Stephen Moreno's NPI number?

The NPI number for Stephen Moreno is 1447706049. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Q: What is Stephen Moreno's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Moreno was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 01, 2016PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 19, 2024, Jun 17, 2024, Nov 22, 2023 and 2 more (5 updates tracked since 2016).

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About Dr. Stephen Moreno Dds NPPES

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

DR. STEPHEN MORENO DDS (NPI 1447706049) is an individual oral and maxillofacial surgery provider in San Diego, California, licensed in California (100401) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1447706049

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. STEPHEN MORENOCredential: DDS

Location Address34800 BOB WILSON DRSan Diego, CA 92134-6511

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateSeptember 1, 2016

Last NPPES UpdateJuly 19, 20245 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1447706049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in CA · 100401✔ Licensed in VA · 0401418390✔ Licensed in FL · DN26788

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

34800 BOB WILSON DR, San Diego, CA 92134

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Secondary Practice Location 1

Location 1554 Keily Street, Bureauof Medicine and Surgery - CredenJacksonville, FL 23312 · Phone (757) 953-1894

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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. Stephen Moreno 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 92134 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)