Active NPI
Kimberly Moore, DDS
- Dentist
- Pittsburgh, PA
National Provider Identifier
1073998399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042052
- Practice address
- 2725 Center St
Pittsburgh, PA 15205-2329 - Phone
- (412) 922-9292
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12012302A | IN | |
| Dentist | 122300000X | DS042052 | PA | Primary |
Addresses
Primary practice location
2725 Center St
Pittsburgh, PA 15205-2329
Mailing address
2725 Center St
Pittsburgh, PA 15205-2329
Phone (412) 922-9292
Other practice location 1
5915 W State Road 46
Bloomington, IN 47404-9359
Phone (812) 876-7330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042052 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Hills Dental Arts - Ingram, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1477869675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1073998399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 CENTER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152052329",
"telephone_number": "412-922-9292",
"fax_number": "812-876-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 CENTER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152052329",
"telephone_number": "412-922-9292"
}
],
"practiceLocations": [
{
"address_1": "5915 W State Road 46",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474049359",
"country_code": "US",
"telephone_number": "812-876-7330",
"fax_number": "812-876-7325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "KIMBERLY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012302A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
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.