KENNETH J MORAN DDS
NPI 1548200256
Dentist - Oral and Maxillofacial Surgery in Tuba City, AZ
About Kenneth J Moran Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH J MORAN DDS (NPI 1548200256) is an individual oral and maxillofacial surgery provider in Tuba City, Arizona, licensed in Arizona (5577) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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)
Kenneth J Moran Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TUBA CITY, AZ 86045
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 Kenneth Moran's NPI number?
The NPI number for Kenneth Moran is 1548200256. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Kenneth Moran located?
Kenneth Moran practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.
What is Kenneth Moran's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Kenneth Moran enrolled in Medicare?
Yes. Kenneth Moran is registered in the Medicare PECOS enrollment system.
What insurance does Kenneth Moran accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Moran 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 Kenneth Moran was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kenneth J Moran, DDS · NPI 1548200256
Oral and Maxillofacial Surgery provider in Tuba City, Arizona. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1548200256 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 5577 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 167 NORTH MAIN STREET, Tuba City, AZ 86045-0600
- **Phone:** (928) 283-2501 · **Fax:** (928) 283-2677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 25, 2011
- **Other identifiers:** Medicare UPIN V08274; Medicaid 422329 (AZ); Medicare ID-Type Unspecified 8EC468
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Source: [NPI Profile](https://npiprofile.com/npi/1548200256) · Data from the CMS NPPES public registry.