Kennedy Moore, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN10000242 Issued in MA

Practice address

100 High St Ste 200
Westwood, MA 02090-1196

Phone

(781) 733-9378

NPI assigned

May 28, 2024

Sex

Female

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 MA

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

Practice roles

Locations

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.

• Boston Health Care for the Homeless Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1033157771
  Medicare reassignment NPD
• Boston Health Care for the Homeless Program, Inc.

  • Community/Retail Pharmacy
  • Boston, MA
  • NPI 1194443531
  NPD
• Boston Health Care for the Homeless Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boston, MA
  • NPI 1780827394
  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1821838004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 WACHUSETT ST APT 3",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304462",
            "telephone_number": "585-412-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST STE 200",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901196",
            "telephone_number": "781-733-9378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Albany St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182755",
            "country_code": "US",
            "telephone_number": "857-654-1000",
            "fax_number": "857-654-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl E Mitchell, CRNA
• Keisha Stacy Monast, CRNA
• Monica Anand D.M.D, PC
• Matthew Moon
• Elizabeth Ann Moore, M.D.
• Masood Moradi
• Rita Mary Morris, LMHC
• Emily Morrison, ATC, LAT
• Jessica Morrissey, CRNA
• Kathleen Susan Mullin

• Dentist in Westwood, MA
• Providers in Westwood, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.