Hazel Moore, DDS
NPI 1114914066 · General Practice Dentistry · Kenosha, WI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hazel Moore, DDS is a General Practice Dentistry provider in Kenosha, WI (NPI 1114914066).
Provider details
- NPI number
- 1114914066
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 3267-015 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-04
- Last updated
- 2011-12-29
Frequently asked questions
- What is Hazel Moore's NPI number?
- Hazel Moore's National Provider Identifier (NPI) is 1114914066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hazel Moore's specialty?
- Hazel Moore is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Hazel Moore located?
- Hazel Moore's practice location on file with NPPES is 4536 22nd Ave, Kenosha, WI 53140-5917.
- What is Hazel Moore's phone number?
- The practice phone number listed in the NPPES registry for Hazel Moore is (262) 656-0044.
- Does Hazel Moore accept Medicare?
- Hazel Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hazel Moore's NPI active?
- Yes — Hazel Moore's NPI (1114914066) is active in the NPPES registry as of the last update on 2011-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.