Kevin Moreno, DDS
NPI 1477390789 · Dentist · Ballwin, MO
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Moreno, DDS is a Dentist provider in Ballwin, MO (NPI 1477390789).
Provider details
- NPI number
- 1477390789
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2024027871 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-05-31
Frequently asked questions
- What is Kevin Moreno's NPI number?
- Kevin Moreno's National Provider Identifier (NPI) is 1477390789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Moreno's specialty?
- Kevin Moreno is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kevin Moreno located?
- Kevin Moreno's practice location on file with NPPES is 15208 Manchester Rd, Ballwin, MO 63011-4601.
- What is Kevin Moreno's phone number?
- The practice phone number listed in the NPPES registry for Kevin Moreno is (636) 238-3197.
- Does Kevin Moreno accept Medicare?
- Kevin Moreno is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Moreno's NPI active?
- Yes — Kevin Moreno's NPI (1477390789) is active in the NPPES registry as of the last update on 2024-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.