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Deactivated NPI 1174711410 Deactivated / Inactive NPI Male Practitioner

Dr. Dan D Moore , DDS

Dentist - General Practice • Cypress, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dan Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2007
NPI Deactivation Date May 06, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Moore, DDS was a registered Dentist - General Practice practicing in Cypress, TX. Throughout an active medical career spanning 12 years, Dr. Moore provided care at the practice location at 11754 GRANT ROAD until profile deactivation on 2019-05-06.

Practice Location & Contact Primary Location

Practice Address

11754 Grant Road

Cypress, TX 774292943

Telephone 2813202626
Fax 2812518282

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cypress, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
70 Specialists

Practicing in Cypress, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 12867

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 06, 2019

Record deactivated on May 06, 2019

NPI Profile Active October 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2007

Registered at 11754 GRANT ROAD, CYPRESS, TX 774292943 (Tel: 2813202626)

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Updated Business Mailing Address October 11, 2007

Registered at 11754 GRANT ROAD, CYPRESS, TX 774292943 (Tel: 2813202626)

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Provider Name / Credentials Updated October 11, 2007

Recorded as DAN MOORE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2007

Dentist (License #12867 in TX)

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Initial NPI Registration & Enumeration October 11, 2007

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: 1174711410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2007
Last Update: October 11, 2007
Deactivation Date: May 06, 2019

Mailing Address

11754 Grant Road

Cypress, TX 774292943

Phone: 2813202626

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.