Hazel E. Moore, DDS
General Practice Dentistry · Kenosha, WI
Hazel E. Moore, DDS is a general practice dentistry with a practice address in Kenosha, Wisconsin, and NPI 1114914066, issued on Oct 4, 2005. Check the license (Wisconsin 3267-015, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Hazel E. Moore
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 3267-015 WI
Self-reported in NPPES; status is on the state search - Practice location
- 4536 22ND Ave, Kenosha, WI 53140
- Phone
- (262) 656-0044
- Enumerated
- Oct 4, 2005
- Record last updated
- Dec 29, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (262) 653-2218
- Medicaid ID
- 33462500 WI
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 2,305 in Wisconsin → Look up another NPI →
Also registered at 4536 22ND Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mark Celebre, R.PH.Pharmacist1437084951
- Emily Collins, R.D.Registered Dietitian1316296171
- Jennifer Connolly, RDHDental Hygienist1811062581
- Amy Crum, APNPFamily Nurse Practitioner1295579951
- Heidi Eckelberg, APNPPsychiatric/Mental Health Nurse Practitioner1427367184
Verify Hazel E. Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3267-015Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Hazel E. Moore among 2,305 general practice dentistry records in Wisconsin
Hazel E. Moore, DDS is one of 2,305 general practice dentistry records with a practice address in Wisconsin. 57% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 97% newer
- In a Medicare fileNo · 57% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2011 · 75% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
54 general practice dentistry records list a practice address in Kenosha
They are 54 of the 1,852 NPPES records with a practice address in Kenosha, and 2,305 general practice dentistry records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,305 in Wisconsin → Every provider in Kenosha → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Anne Lakayil, DDSKenosha, WI 531401841786282
- Carlos Miro, DDSKenosha, WI 531401386626554
- Toni Roucka, DDSKenosha, WI 531401578550521
- Michael Walsh, D.D.S.Kenosha, WI 531401316063530
- Mannie Beck, D.D.S.Kenosha, WI 531421447264486
- Josephine Berman, DDSKenosha, WI 531421740382761
- Susan Cable, D.D.S.Kenosha, WI 531421083634679
- Brian Chybowski, DDSKenosha, WI 531421285641654
Common questions
What is Hazel E. Moore, DDS's NPI number?
Hazel E. Moore, DDS's National Provider Identifier (NPI) is 1114914066, issued on Oct 4, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Hazel E. Moore, DDS located?
The NPPES record lists a practice address at 4536 22ND Ave, Kenosha, WI, 53140. Phone: (262) 656-0044. Providers update this record themselves, so call before visiting.
How can I verify Hazel E. Moore, DDS's license?
NPPES lists Wisconsin license number 3267-015, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.