JULASTENE DYER-MOORE D.D.S.
NPI 1750671954
Dentist - General Practice in Pecos, NM

Q: What is Julastene Dyer-moore's NPI number?

The NPI number for Julastene Dyer-moore is 1750671954. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Q: What is Julastene Dyer-moore's specialty?

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

Active since April 10, 2011PECOS Enrolled

199 HIGHWAY 50, PECOS, NM 87552(505) 757-6666 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Julastene Dyer-moore D.d.s. NPPES

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

JULASTENE DYER-MOORE D.D.S. (NPI 1750671954) is an individual general practice provider in Pecos, New Mexico, licensed in New Mexico (DD4171) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750671954

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJULASTENE DYER-MOORECredential: D.D.S.

Location Address199 HIGHWAY 50Pecos, NM 87552

Mailing AddressPo Box 710Pecos, NM 87552-0710 · (505) 757-6666

Phone(505) 757-6666

Sole ProprietorNo

Enumeration DateApril 10, 2011

Last NPPES UpdateDecember 12, 2019

✔ NPI 1750671954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NM · DD4171

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.

Also ListedDentistTaxonomy 122300000X · License DD4171 (NM), DEN10751 (CO)

199 HIGHWAY 50, Pecos, NM 87552

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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)

Julastene Dyer-moore D.d.s. 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 87552 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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 9

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

ARIEL HUBBARD-CORDERO LMSW

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