Dr. Blake Edwin Moore, DDS
Dr. Blake Edwin Moore is a Pediatric Dentistry provider (Dentist) practicing in Folsom, CA, registered in the NPPES registry with NPI 1801883756 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1801883756 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Blake Edwin Moore |
| Credential | DDS |
| Sex | Male |
| Practice address | Folsom, CA, 95630 |
| Phone | 9169840304 |
| Enumeration date | 2005-10-05 |
| Last updated in NPPES | 2019-12-25 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | 64252 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Blake Moore, DDS NPI: 1801883756 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: Folsom, CA, 95630
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538225503 | Tavallaei, D.M.D., Corporation | Organization | Pediatric Dentistry | Folsom, CA |
| 1356558159 | Monica Tavallaei | Individual | Pediatric Dentistry | Folsom, CA |
| 1831340959 | Sabrina Jang | Individual | Dentist | Folsom, CA |
| 1437458338 | Issa Kawas | Individual | Oral & Maxillofacial Surgery (D.M.D.) | Folsom, CA |
| 1912290412 | Charles Leung | Individual | Pediatric Dentistry | Folsom, CA |
| 1194115154 | S.Y. Jang DDS Corporatiom | Organization | Pediatric Dentistry | Folsom, CA |
| 1215585062 | Jina Annello | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Folsom, CA |
| 1255948741 | Angela Du | Individual | Pediatric Dentistry | Folsom, CA |
Verify this record
Cross-check NPI 1801883756 against the authoritative CMS record: view Dr. Blake Edwin Moore on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Blake Moore?
Where does Blake Moore practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-25.