Organization Active NPI

Nicholas Moore DDS LLC

  • Dental Clinic/Center
  • Joplin, MO
National Provider Identifier
1063359917
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NICHOLAS MOORE DDS LLC
Practice address
1802 W 32ND St Ste Hij
Joplin, MO 64804-1606
Phone
(816) 699-0732
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Dr. Nicholas Jay Moore, D.D.S.NPI 1225695703
Title
Owner Dentist
Phone
(816) 699-0732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1802 W 32ND St Ste Hij
Joplin, MO 64804-1606

Mailing address

1802 W 32ND St Ste Hij
Joplin, MO 64804-1606
Phone (816) 699-0732

National Provider Directory

National Provider Directory
Tax ID family
Nicholas J Moore DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1063359917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 W 32ND ST STE HIJ",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041606",
            "telephone_number": "816-699-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W 32ND ST STE HIJ",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041606",
            "telephone_number": "816-699-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS MOORE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "816-699-0732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.