JULASTENE DYER-MOORE D.D.S.
NPI 1750671954
Dentist - General Practice in Pecos, NM
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Julastene Dyer-moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pecos, NM 87552
- Reassigned Medicare billing, New Mexico enrollment
- 322 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
PECOS, NM 87552
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 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.
Where is Julastene Dyer-moore located?
Julastene Dyer-moore practices at 199 Highway 50, Pecos, NM 87552. The listed phone number is (505) 757-6666.
What is Julastene Dyer-moore's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Julastene Dyer-moore enrolled in Medicare?
Yes. Julastene Dyer-moore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julastene Dyer-moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julastene Dyer-moore reassigns Medicare benefits to Presbyterian Medical Services (Pecos, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julastene Dyer-moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julastene Dyer-moore accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Julastene Dyer-moore 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 Julastene Dyer-moore was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Julastene Dyer-Moore, D.D.S. · NPI 1750671954
General Practice provider in Pecos, New Mexico. Individual provider, active in the CMS NPPES registry since April 10, 2011.
## Identity
- **NPI:** 1750671954 (Entity type: Individual)
- **Enumerated:** April 10, 2011
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DD4171 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 199 HIGHWAY 50, Pecos, NM 87552
- **Phone:** (505) 757-6666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Presbyterian Medical Services (NPI 1922656404, Pecos, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1750671954) · Data from the CMS NPPES public registry.