Kathryn Moore, D.M.D.
NPI 1750510301 · Dentist · Glen Carbon, IL
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathryn Moore, D.M.D. is a Dentist provider in Glen Carbon, IL (NPI 1750510301).
Provider details
- NPI number
- 1750510301
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2009016931 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 2800 College AveBldg 263 Rm 1102Alton, IL 62002-4742Phone: (618) 474-7095Fax: (618) 474-7083
- 1112 Rickard Rd Ste aSpringfield, IL 62704-1021Phone: (217) 698-9300
Registry dates
- Enumerated
- 2009-07-03
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Kathryn Moore's NPI number?
- Kathryn Moore's National Provider Identifier (NPI) is 1750510301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathryn Moore's specialty?
- Kathryn Moore is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kathryn Moore located?
- Kathryn Moore's practice location on file with NPPES is 590 Glen Crossing Rd, Glen Carbon, IL 62034-1519.
- What is Kathryn Moore's phone number?
- The practice phone number listed in the NPPES registry for Kathryn Moore is (618) 288-9670.
- Does Kathryn Moore accept Medicare?
- Kathryn Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathryn Moore's NPI active?
- Yes — Kathryn Moore's NPI (1750510301) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.