DR. SHANE L MOORE (DDS) – Pediatric Dentistry, NPI 1538233622

DR. SHANE L MOORE (DDS) is a healthcare provider. based in Amarillo, Texas. specializing in Pediatric Dentistry. They hold the professional credentials DDS. They hold a License No. 18661 (TX). The NPI Number for DR. SHANE L MOORE (DDS) is 1538233622

Main info

Male
Name
DR. SHANE L MOORE (DDS)
NPI
1538233622
Phone
(806) 350-5437
Address
2455 W INTERSTATE 40
Enumeration Date
20 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SHANE L MOORE (DDS)

  • 2455, West Interstate Drive, Sunnyside Addition, Amarillo, Potter County, Texas, 79109, United States

    AMARILLO, TX 791091852

    Phone: (806) 350-5437

    Fax: (806) 350-5438

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 79109)

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Reviews

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Frequently asked questions

How do payers reference DR. SHANE L MOORE (DDS)?
For DR. SHANE L MOORE (DDS), use NPI 1538233622 as the unique 10-digit identifier.
Would DR. SHANE L MOORE (DDS) appear as active to a payer?
You can treat DR. SHANE L MOORE (DDS) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. SHANE L MOORE (DDS)?
DR. SHANE L MOORE (DDS) is associated with Pediatric Dentistry in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHANE L MOORE (DDS)?
Travel planning: use Amarillo, Texas as the reference point for DR. SHANE L MOORE (DDS), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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