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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Timothy Charles Moore, DDS,MSD

Prosthodontics in Grand Rapids, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679599930

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Registry record

Entity type Individual (Type 1)
Name Dr. Timothy Charles Moore
Credential DDS,MSD
Sex Male
Practice address Grand Rapids, MI, 49546
Fax (616) 285-8856
Enumeration date Jul 13, 2006
Last updated in NPPES Jul 21, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223P0700X Prosthodontics Dental Providers · License 2901010163 (MI) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Timothy Moore?
The National Provider Identifier (NPI) for Timothy Moore is 1679599930, a Type 1 (individual) record in the CMS NPPES registry.
Where does Timothy Moore practice?
The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.