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DR. KEVIN MORENO DDS
NPI 1477390789
Dentist in Ballwin, MO

Active since July 12, 2024PECOS Enrolled
15208 MANCHESTER RD, BALLWIN, MO 63011(636) 238-3197 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Moreno Dds NPPES

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

DR. KEVIN MORENO DDS (NPI 1477390789) is an individual dentist in Ballwin, Missouri, licensed in Missouri (2024027871) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477390789
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN MORENOCredential: DDS
Location Address15208 MANCHESTER RDBallwin, MO 63011-4601
Mailing Address16336 Lakeview CirChesterfield, MO 63017-4710 · (760) 468-7455
Phone(636) 238-3197
Sole ProprietorNo
Enumeration DateJuly 12, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1477390789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2024027871
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.
15208 MANCHESTER RD, Ballwin, MO 63011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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. Kevin 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 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 2

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

BALLWIN FAMILY SMILES, PLLC
Dentist (General Practice)
15208 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (918) 998-0996
KEVIN F. POSTOL D.D.S. LLC
Clinic/Center (Dental)
15208 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (636) 394-6044

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 Kevin Moreno's NPI number?

The NPI number for Kevin Moreno is 1477390789. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Kevin Moreno located?

Kevin Moreno practices at 15208 Manchester Rd, Ballwin, MO 63011. The listed phone number is (636) 238-3197.

What is Kevin Moreno's specialty?

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

Is Kevin Moreno enrolled in Medicare?

Yes. Kevin Moreno is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Moreno accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 16 other insurers list Kevin Moreno 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 Kevin Moreno was last updated on July 12, 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.