Kelly Rae Moore, DDS
Dentist · Mound, MN
Kelly Rae Moore, DDS is a dentist with a practice address in Mound, Minnesota, and NPI 1790277416, issued on May 30, 2018. Check the license (Minnesota D14010, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Rae Moore
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- D14010 MN
Self-reported in NPPES; status is on the state search - Practice location
- 5205 Shoreline Dr, Mound, MN 55364
- Phone
- (952) 831-2800
- Enumerated
- May 30, 2018
- Record last updated
- Apr 10, 2025
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,794 in Minnesota → Look up another NPI →
Also registered at 5205 Shoreline Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Reilly Kroiss, DDSGeneral Practice Dentistry1073206454
Verify Kelly Rae Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license D14010Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
64% fewer Medicare Part D claims than the average dentist in 2024
31 Medicare Part D claims for 22 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Amoxicillin21 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $314.37
5 payments; by number, the most common kind was food and beverage; the largest payer was Zimvie Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kelly Rae Moore among 1,794 dentist records in Minnesota
Kelly Rae Moore, DDS is one of 1,794 dentist records with a practice address in Minnesota. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 74% of them.
- NPI issued2018 · 74% of these records are older, 23% newer
- In a Medicare fileYes · 62% of these records are
- In the CMS Doctors and Clinicians fileNo · 1% of these records are
- Record last updated2025 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 dentist records list a practice address in Mound
They are 3 of the 50 NPPES records with a practice address in Mound, and 1,794 dentist records in Minnesota.
All 1,794 in Minnesota → Every provider in Mound → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Robert Lauer, DDSMound, MN 553641205913282
- Mary Philp, DDSMound, MN 553641538447644
- Derek Abramowski, D.D.S.Monticello, MN 553621952741290
- Steven Biorn, DDSMonticello, MN 553621033556329
- Amanda Buoy, DDSMonticello, MN 553621568329803
- John Erickson, DDSMonticello, MN 553621184844888
- John Erlandson, DDSMonticello, MN 553621871691857
- Mari LiestmanMonticello, MN 553621265054332
Common questions
What is Kelly Rae Moore, DDS's NPI number?
Kelly Rae Moore, DDS's National Provider Identifier (NPI) is 1790277416, issued on May 30, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Rae Moore, DDS located?
The NPPES record lists a practice address at 5205 Shoreline Dr, Mound, MN, 55364. Phone: (952) 831-2800. Providers update this record themselves, so call before visiting.
How can I verify Kelly Rae Moore, DDS's license?
NPPES lists Minnesota license number D14010, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
How much does Kelly Rae Moore, DDS prescribe under Medicare Part D?
In 2024, Kelly Rae Moore, DDS had 31 Medicare Part D claims for 22 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions 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. Medicare files from data.cms.gov. 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.