What is Lisa Moore's NPI number?

Lisa Moore's National Provider Identifier (NPI) is 1407875891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Moore's specialty?

Lisa Moore is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).

Where is Lisa Moore located?

Lisa Moore's practice location on file with NPPES is 1005 E Lasalle Ave, South Bend, IN 46617-2818.

What is Lisa Moore's phone number?

The practice phone number listed in the NPPES registry for Lisa Moore is (574) 245-7501.

Is Lisa Moore's NPI active?

Yes — Lisa Moore's NPI (1407875891) is active in the NPPES registry as of the last update on 2007-07-09.

IndividualActive

Lisa Moore, DDS

NPI 1407875891 · Pediatric Dentistry · South Bend, IN

Lisa Moore, DDS is a Pediatric Dentistry provider in South Bend, IN (NPI 1407875891).

Provider details

NPI number: 1407875891
Entity type: Individual
Primary specialty: Pediatric DentistryDental Providers
Credential: DDS
Sex: Female
Sole proprietor: No
License: 12009706 (IN)

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 12009706 (IN)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1005 E Lasalle Ave

South Bend, IN 46617-2818

Phone: (574) 245-7501

Fax: (574) 245-7502

Street-level locationGet directions

Mailing address