Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK LOWELL MOORE DDS
NPI 1982890331
Dentist - Pediatric Dentistry in Roseville, CA

Q: What is Jack Moore's NPI number?

The NPI number for Jack Moore is 1982890331. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Q: What is Jack Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jack Moore was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since September 19, 2007

700 SUNRISE AVENUE, SUITE C, ROSEVILLE, CA 95661(916) 782-1209(916) 782-1770 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Lowell Moore Dds NPPES

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

DR. JACK LOWELL MOORE DDS (NPI 1982890331) is an individual pediatric dentistry provider in Roseville, California, licensed in California (17346) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1982890331

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JACK LOWELL MOORECredential: DDS

Location Address700 SUNRISE AVENUE, SUITE CRoseville, CA 95661-4561

Mailing Address700 Sunrise Avenue, Suite CRoseville, CA 95661-4561 · (916) 782-1209 · Fax (916) 782-1770

Phone(916) 782-1209

Fax(916) 782-1770

Sole ProprietorNo

Enumeration DateSeptember 19, 2007

Last NPPES UpdateAugust 9, 2026

✔ NPI 1982890331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CA · 17346

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

700 SUNRISE AVENUE, Roseville, CA 95661

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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 Jack Moore's NPI number?

The NPI number for Jack Moore is 1982890331. It was assigned to this individual provider in the NPPES registry on September 19, 2007.

Where is Jack Moore located?

Jack Moore practices at 700 Sunrise Avenue Suite C, Roseville, CA 95661. The listed phone number is (916) 782-1209.

What is Jack Moore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jack Moore was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.