OrganizationActive
Kelly J. Moore D.D.S., P.C.
NPI 1891897799 · General Practice Dentistry · Rockford, IL
Kelly J. Moore D.D.S., P.C. is a General Practice Dentistry organization in Rockford, IL (NPI 1891897799).
Provider details
- NPI number
- 1891897799
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kelly Moore, Dentist/Owner(815) 399-9040
- License
- 060-003341 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
6075 Vantage Pl
Rockford, IL 61107-5905
Phone: (815) 399-9040
Fax: (815) 399-9336
Street-level locationGet directions
Mailing address
6075 Vantage Pl
Rockford, IL 61107-5905
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2008-10-10
Frequently asked questions
- What is Kelly J. Moore D.D.S., P.C.'s NPI number?
- Kelly J. Moore D.D.S., P.C.'s National Provider Identifier (NPI) is 1891897799, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly J. Moore D.D.S., P.C.?
- Kelly J. Moore D.D.S., P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kelly J. Moore D.D.S., P.C. located?
- Kelly J. Moore D.D.S., P.C.'s practice location on file with NPPES is 6075 Vantage Pl, Rockford, IL 61107-5905.
- What is Kelly J. Moore D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Kelly J. Moore D.D.S., P.C. is (815) 399-9040.
- Who is the authorized official for Kelly J. Moore D.D.S., P.C.?
- The authorized official listed on Kelly J. Moore D.D.S., P.C.'s NPPES record is Kelly Moore, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly J. Moore D.D.S., P.C.'s NPI active?
- Yes — Kelly J. Moore D.D.S., P.C.'s NPI (1891897799) is active in the NPPES registry as of the last update on 2008-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.