KELLY J. MOORE D.D.S., P.C.
NPI 1891897799
Dentist - General Practice in Rockford, IL

NPI Status: Active since September 01, 2006

Contact Information

6075 VANTAGE PL
ROCKFORD, IL
ZIP 61107
Phone: (815) 399-9040
Fax: (815) 399-9336

Get Directions Write a Review

  • Organization
  • Dentist
  • General Practice

About KELLY J. MOORE D.D.S., P.C.

This page provides the complete NPI Profile along with additional information for Kelly J. Moore D.d.s., P.c., a provider established in Rockford, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1891897799 assigned on September 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 060-003341 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kelly James Moore Dds (Dentist/owner)

NPI
1891897799
Provider Name
KELLY J. MOORE D.D.S., P.C.
Entity Type
Organization
Location Address
6075 VANTAGE PL ROCKFORD, IL 61107
Location Phone
(815) 399-9040
Location Fax
(815) 399-9336
Mailing Address
6075 VANTAGE PL ROCKFORD, IL 61107
Mailing Phone
(815) 399-9040
Mailing Fax
(815) 399-9336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2006
Last Update Date
10-10-2008
Code Navigator

A dentist like Kelly J. Moore D.d.s., P.c. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
060-003341
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KELLY JAMES MOORE DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(815) 399-9040

Reviews for KELLY J. MOORE D.D.S., P.C.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891897799, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 6 + 9 + 1 + 4 + 7 + 1 + 8 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891897799.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107
Clinic/Center (Dental)
6075 VANTAGE PL
ROCKFORD, IL 61107
Dentist (General Practice)
6075 VANTAGE PL
ROCKFORD, IL 61107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891897799, enumerated as an "organization" on September 01, 2006.

The provider is located at 6075 VANTAGE PL ROCKFORD, IL 61107 and the phone number is (815) 399-9040.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.