Steven Michael Moore, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

H105603 Issued in CO

Practice address

230 Park Ave
Fort Lupton, CO 80621-1928

Phone

(303) 857-2258

Fax

(303) 857-9884

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Dental Sleep Medicine, Inc

  dba Center For Dental Sleep Medicine

  • Customized Equipment (DME)
  • Arvada, CO
  • NPI 1912328113
  NPD (past)
• HMJ PC

  dba Park Avenue Dental

  • General Practice Dentistry
  • Fort Lupton, CO
  • NPI 1336544642
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396840468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211928",
            "telephone_number": "303-857-2258",
            "fax_number": "303-857-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PARK AVE",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211928",
            "telephone_number": "303-857-2258",
            "fax_number": "303-857-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H105603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin A Martin, PHARM D
• Martin Daniel McDermott, M.D.
• Hannah Meyer, PA-C
• Stephanie N Miller, PA
• Hadley Lyn Montoya
• Michael Moro, PHARMD
• North Range Behavioral Health
• North Range Behavioral Health
• North Range Behavioral Health
• Mariah O'Connell, RDH

• General Practice Dentistry in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.