Nicholas Moore DDS LLC
Nicholas Moore DDS LLC is a healthcare organization registered as Dental Clinic/Center in Joplin, MO, holding Type 2 (organization) NPI 1063359917 since 2026. The authorized official on file is Nicholas Moore, Owner Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063359917 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nicholas Moore DDS LLC |
| Practice address | 1802 W 32ND ST STE HIJ, Joplin, MO, 64804 |
| Phone | 8166990732 |
| Enumeration date | 2026-04-29 |
| Last updated in NPPES | 2026-04-29 |
Authorized official
| Name | Nicholas Moore |
|---|---|
| Title | Owner Dentist |
| Phone | 8166990732 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Nicholas Moore DDS LLC NPI: 1063359917 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1802 W 32ND ST STE HIJ, Joplin, MO, 64804
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053258905 | Nicholas J. Moore DDS, LLC | Organization | Dental Clinic/Center | Joplin, MO |
Verify this record
Cross-check NPI 1063359917 against the authoritative CMS record: view Nicholas Moore DDS LLC 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
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Where is Nicholas Moore DDS LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-29.