Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225695703 Individual Practitioner Male Practitioner

Dr. Nicholas Jay Moore , DDS

Dentist • Joplin, MO

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Moore, DDS is a registered healthcare professional specializing in Dentist in Joplin, MO. Practice services are available at 525 W 32ND STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

525 W 32nd Street

Joplin, MO 64804

Telephone 4177815600
Fax 4178688263
Associated Practice Facility / Clinic
🏢 Gregory B Kivett Jr Llc Facility NPI 1225450075

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Joplin, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
34 Specialists

Practicing in Joplin, MO (1740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2019016638

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Missouri Professional License
2019016638 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Todd Brueckner , DDS

Dentist - General Practice

NPI 1235621293

Doctor of Dental Surgery

NPI 1295127199

Bachelor of Science, Registered Dental Hygienist, CDA, EFDA

Sherry Hall

Dental Hygienist

NPI 1477950822
Frances Ryan

Dental Hygienist

NPI 1497152805
Dr. Robert Morrissey , DDS

Dentist - General Practice

NPI 1528597069

Doctor of Dental Surgery

Dr. Abigail Fincel , DDS

Dentist - General Practice

NPI 1780246603

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 14, 2025

Registered at 525 W 32ND STREET, JOPLIN, MO 64804 (Tel: 4177815600)

📍
Updated Business Mailing Address August 14, 2025

Registered at 401 HERITAGE ACRES DRIVE, JOPLIN, MO 64801 (Tel: 8166990732)

NPI Profile Active May 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2019

Registered at 440 E TAMPA ST, SPRINGFIELD, MO 658061131 (Tel: 4178310150)

📍
Updated Business Mailing Address May 21, 2019

Registered at 947 WEEKS AVE SE, MINNEAPOLIS, MN 554142675 (Tel: 8166990732)

👤
Provider Name / Credentials Updated May 21, 2019

Recorded as NICHOLAS MOORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2019

Dentist (License #2019016638 in MO)

🟢
Initial NPI Registration & Enumeration May 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225695703
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2019
Last Update: August 14, 2025
Sole Proprietor: No

Mailing Address

401 Heritage Acres Drive

Joplin, MO 64801

Phone: 8166990732

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.