DR. ERNEST E MOORE (D.D.S) – Dentist, NPI 1972543957
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 ORAL SURGERY in VA
Provider Addresses for DR. ERNEST E MOORE (D.D.S)
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
4348 ELECTRIC RD
ROANOKE, VA 240180720
Phone: (540) 769-0600
Type: Location
6425, Chesterfield Meadows Drive, Chesterfield Meadows Shopping Center, Chesterfield, Chesterfield Court House, Chesterfield County, Virginia, 23832, United States
CHESTERFIELD, VA 238328810
Phone: (804) 796-9500
Type: Location
11711, Beechwood Forest Drive, Beachwood Forest, Chesterfield County, Virginia, 23838, United States
CHESTERFIELD, VA 238383542
Phone: (804) 790-1142
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131114001864 | I | Oral Surgery | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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