Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053452250 Individual Practitioner Male Practitioner

Dr. Dennis Moore , MD

Pediatrics • Grandview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Moore, MD is a registered healthcare professional specializing in Pediatrics in Grandview, WA. Practice services are available at 1003 WALLACE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1003 Wallace Way

Grandview, WA 989308805

Telephone 5092031080
Fax 5092031077
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Grandview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Grandview, WA (1802 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

CMS Verified: 2024-08-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD61499857

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NV 9907

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License NV NV 9907

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Mackenzie Blackwell , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407697105

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Erica Garza , ARNP

Nurse Practitioner - Family

NPI 1598851784

Advanced Registered Nurse Practitioner

Madison Benjert

Nurse Practitioner - Family

NPI 1821892449
NPI 1972986818

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 01, 2024

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5092031080)

📍
Updated Business Mailing Address August 01, 2024

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5092031080)

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 650 N NELLIS BLVD, LAS VEGAS, NV 891105382 (Tel: 7026413212)

📍
Updated Business Mailing Address February 14, 2014

Registered at PO BOX 15645, LAS VEGAS, NV 891145645 (Tel: 7026413212)

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as DENNIS MOORE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Pediatrics (License #9907 in NV)

🟢
Initial NPI Registration & Enumeration February 09, 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: 1053452250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: August 01, 2024
Sole Proprietor: Yes

Mailing Address

1003 Wallace Way

Grandview, WA 989308805

Phone: 5092031080

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.