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DR. DAVID THOMAS MOORE D.D.S.
NPI 1972658029
Dentist - General Practice in Albuquerque, NM

Active since January 25, 2007Opted out of Medicare · through Nov 16, 2027
3900 EUBANK BLVD. NE, SUITE #5, ALBUQUERQUE, NM 87111(505) 293-6125(505) 293-6130 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Thomas Moore D.d.s. NPPES

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

DR. DAVID THOMAS MOORE D.D.S. (NPI 1972658029) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD1844) and active in the NPI registry since January 2007. He has opted out of Medicare through November 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972658029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID THOMAS MOORECredential: D.D.S.
Location Address3900 EUBANK BLVD. NE, SUITE #5Albuquerque, NM 87111-3427
Mailing Address3900 Eubank Blvd. Ne, Suite #5Albuquerque, NM 87111-3427 · (505) 293-6125 · Fax (505) 293-6130
Phone(505) 293-6125
Fax(505) 293-6130
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972658029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD1844
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.
3900 EUBANK BLVD. NE, Albuquerque, NM 87111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield 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

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Opted out of Medicare

Dr. David Thomas Moore 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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.

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 David Moore's NPI number?

The NPI number for David Moore is 1972658029. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is David Moore located?

David Moore practices at 3900 Eubank Blvd. NE Suite #5, Albuquerque, NM 87111. The listed phone number is (505) 293-6125.

What is David Moore's specialty?

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

Is David Moore enrolled in Medicare?

No. David 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 David Moore accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list David 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 David Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.