Steven Barrett Moore II, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11113 Issued in KY

Practice address

1983 Dixie Hwy
Ft Wright, KY 41011-2607

Phone

(859) 415-4800

NPI assigned

Apr 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1063264075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 N WOLF CRK",
            "city": "LOVELY",
            "state": "KY",
            "postal_code": "412318964",
            "telephone_number": "606-471-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 DIXIE HWY",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410112607",
            "telephone_number": "859-415-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVEN",
        "middle_name": "BARRETT",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metzger Optometry Ky PLLC
• William Ferdinand Metzger, O.D.
• Dana C Miller, RPH
• Aleesha M Montoya, MD
• Stacey J Moore, ARNP
• Mary Elizabeth Mueller, DDS
• Thomas B. Mueller, D.M.D
• Mary Kathleen Nelms, APRN
• Northern Ky Chiropractic Spine & Injury Center LLC
• Allison O'Conner, MSN, APRN, FNP-C

• Dentist in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.