Shannon Kenneth Moore, DMD MSED
Dentist · Bloomington, IN
Shannon Kenneth Moore, DMD MSED is a dentist with a practice address in Bloomington, Indiana, and NPI 1194855205, issued on Mar 7, 2007. Check the license (Indiana 12010311A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Kenneth Moore
- Credential
- DMD MSED
- Primary taxonomy
- Dentist 122300000X
- License number
- 12010311A IN
Self-reported in NPPES; status is on the state search - Practice location
- 2815 N Walnut Street, Bloomington, IN 47404
- Phone
- (812) 332-1405
- Enumerated
- Mar 7, 2007
- Record last updated
- Mar 16, 2022
- Fax
- (812) 332-4331
- Medicaid ID
- 200326230 IN
- Entity
- Type 1 · individual
8 nearest dentist records → All 1,582 in Indiana → Look up another NPI →
Verify Shannon Kenneth Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 12010311ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
20% fewer Medicare Part D claims than the average dentist in 2024
69 Medicare Part D claims for 46 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
- Amoxicillin31 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: $77.30
2 payments; by number, the most common kind was food and beverage; the largest payer was Align Technology, 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.
Shannon Kenneth Moore among 1,582 dentist records in Indiana
Shannon Kenneth Moore, DMD MSED is one of 1,582 dentist records with a practice address in Indiana. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 22% of them.
- NPI issued2007 · 22% of these records are older, 61% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2022 · 70% 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 Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
34 dentist records list a practice address in Bloomington
They are 34 of the 3,287 NPPES records with a practice address in Bloomington, and 1,582 dentist records in Indiana.
All 1,582 in Indiana → Every provider in Bloomington → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Gary Bishop, DDSBloomington, IN 474041407921703
- Christopher Cummings, D.D.S.Bloomington, IN 474041720333677
- Jefferson Dai, DDSBloomington, IN 474041538912001
- Jungsoo NamBloomington, IN 474041194501031
- Anuj Patel, DDSBloomington, IN 474041952297210
- Jill Reitmeyer, D.D.S.Bloomington, IN 474041720370059
- Kijin Woo, DMDBloomington, IN 474041396901005
- Stacy Caldwell, DMDBloomington, IN 474031093323776
Common questions
What is Shannon Kenneth Moore, DMD MSED's NPI number?
Shannon Kenneth Moore, DMD MSED's National Provider Identifier (NPI) is 1194855205, issued on Mar 7, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Kenneth Moore, DMD MSED located?
The NPPES record lists a practice address at 2815 N Walnut Street, Bloomington, IN, 47404. Phone: (812) 332-1405. Providers update this record themselves, so call before visiting.
How can I verify Shannon Kenneth Moore, DMD MSED's license?
NPPES lists Indiana license number 12010311A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
How much does Shannon Kenneth Moore, DMD MSED prescribe under Medicare Part D?
In 2024, Shannon Kenneth Moore, DMD MSED had 69 Medicare Part D claims for 46 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.