DR. KENT E. MOORE M.D., D.D.S.
NPI 1851325260
Oral & Maxillofacial Surgery in Charlotte, NC

Active since July 10, 2006Opted out of Medicare · through Nov 16, 2027
2711 RANDOLPH RD, SUITE 510, CHARLOTTE, NC 28207(704) 358-8898(704) 358-8889 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kent E. Moore M.d., D.d.s. NPPES

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

DR. KENT E. MOORE M.D., D.D.S. (NPI 1851325260) is an individual oral & maxillofacial surgery provider in Charlotte, North Carolina, licensed in North Carolina (5366) and active in the NPI registry since July 2006. He has opted out of Medicare through November 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851325260
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KENT E. MOORECredential: M.D., D.D.S.
Location Address2711 RANDOLPH RD, SUITE 510Charlotte, NC 28207-2034
Mailing Address2711 Randolph Rd, Suite 510Charlotte, NC 28207-2034 · (704) 358-8898 · Fax (704) 358-8889
Fax(704) 358-8889
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 19, 2019
NPI 1851325260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in NC · 5366
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 5366 (NC)
2711 RANDOLPH RD, Charlotte, NC 28207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kent E. Moore M.d., D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 16, 2015 through November 16, 2027.

Opt-Out Effective DateNovember 16, 2015
Opt-Out In Effect ThroughNovember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Internal Medicine (Medical Oncology)
2711 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28207
Pediatrics (Pediatric Gastroenterology)
2711 RANDOLPH RD, SUITE 301
CHARLOTTE, NC 28207
Physical Therapist
2711 RANDOLPH RD, 509
CHARLOTTE, NC 28207
Dentist
2711 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28207
Speech-Language Pathologist
2711 RANDOLPH RD, SUITE 509
CHARLOTTE, NC 28207
Dentist (Orthodontics and Dentofacial Orthopedics)
2711 RANDOLPH RD, SUITE 600
CHARLOTTE, NC 28207
Obstetrics & Gynecology
2711 RANDOLPH RD, SUITE 512
CHARLOTTE, NC 28207
Specialist
2711 RANDOLPH RD, STE 208
CHARLOTTE, NC 28207

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 Kent Moore's NPI number?

The NPI number for Kent Moore is 1851325260. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kent Moore located?

Kent Moore practices at 2711 Randolph Rd Suite 510, Charlotte, NC 28207. The listed phone number is (704) 358-8898.

What is Kent Moore's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Kent Moore enrolled in Medicare?

No. Kent Moore has opted out of Medicare through November 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kent Moore accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Kent 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 Kent Moore was last updated on July 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.