Nicholas Jay Moore, DDS in Joplin, MO - Medicare Dentist Provider

Nicholas Jay Moore, DDS is a medicare enrolled "Dentist" provider in Joplin, Missouri. His current practice location is 525 W 32nd Street, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 781-5600.

Nicholas Jay Moore is licensed to practice in Missouri (license number 2019016638) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225695703.

Contact Information

	Nicholas Jay Moore, DDS
	525 W 32nd Street, Joplin, MO 64804
	(417) 781-5600
	(417) 868-8263

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Jay Moore
Gender	Male
Speciality	Dentist
Location	525 W 32nd Street, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225695703
Provider Enumeration Date: 05/21/2019
Last Update Date: 08/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2264768142
Enrollment ID: I20190730004075

Medical Identifiers

Medical identifiers for Nicholas Jay Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225695703	NPI	-	NPPES
2019016638	Other	MO	MISSOURI PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2019016638 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Jay Moore allows following entities to bill medicare on his behalf.

Entity Name	Advocates For A Healthy Community Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Jay Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Jay Moore, DDS 401 Heritage Acres Drive, Joplin, MO 64801 Ph: (816) 699-0732	Nicholas Jay Moore, DDS 525 W 32nd Street, Joplin, MO 64804 Ph: (417) 781-5600

Reviews and Comments

Dentist in Joplin, MO

Jonathan Jacoby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1411 S Range Line Rd, Joplin, MO 64801 Phone: 417-553-7377 Fax: 417-553-7293
Ricardo Lemus, Dentist Medicare: Medicare Enrolled Practice Location: 431 S Northpark Ln, Joplin, MO 64801 Phone: 713-703-3296
Dr. Grant Kirk, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4402 E 32nd St Ste B, Joplin, MO 64804 Phone: 417-781-2900
Dr. Michael Edwin Fitterling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2614 S Mc Coy Ave, Joplin, MO 64804 Phone: 417-781-2900 Fax: 417-781-5178
Dr. Cristina Hernandez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 530 S Maiden Ln, Joplin, MO 64801 Phone: 417-782-0080
Dr. William D Sweeney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3010 Connecticut Ave, Joplin, MO 64804 Phone: 417-623-8444
Kristian Clymer Dietz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 530 S Maiden Ln, Joplin, MO 64801 Phone: 417-782-0080 Fax: 417-782-0096

Nicholas Jay Moore, DDS - Medicare Dentist in Joplin, MO