DR. LARRY MOE DDS
NPI 1598809899
Dentist in Sonora, CA

Active since February 19, 2007PECOS Enrolled
20899 SPANISH GRANT DR STE A, SONORA, CA 95370(209) 533-2225(209) 533-3325 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry Moe Dds NPPES

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

DR. LARRY MOE DDS (NPI 1598809899) is an individual dentist in Sonora, California, licensed in California (B24315) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598809899
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LARRY MOECredential: DDS
Location Address20899 SPANISH GRANT DR STE ASonora, CA 95370-9500
Mailing Address20899 Spanish Grant Dr Ste ASonora, CA 95370-9500 · (209) 533-2225 · Fax (209) 533-3325
Fax(209) 533-3325
Sole ProprietorYes
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1598809899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · B24315
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.

20899 SPANISH GRANT DR STE A, Sonora, CA 95370

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. Larry Moe 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 95370 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Larry Moe's NPI number?

The NPI number for Larry Moe is 1598809899. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Larry Moe located?

Larry Moe practices at 20899 Spanish Grant Dr Ste A, Sonora, CA 95370. The listed phone number is (209) 533-2225.

What is Larry Moe's specialty?

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

Is Larry Moe enrolled in Medicare?

Yes. Larry Moe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Moe was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.