Doctor profile · Federal record

Dr. Jack Moore, DDS

Pediatric Dentist · Roseville, CA

  • NPI 1982890331
  • 19 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
700 Sunrise Avenue, Suite C
Roseville, CA 956614561
(916) 782-1209
fax (916) 782-1770

Credentials & registration

NPPES · NUCC
NPI registered
September 2007 — 19 yrs on file
Specialty taxonomy
1223P0221X — NUCC code
State license (1)
California #17346

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1982890331. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$27
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Zest Holdings, LLC 1 $26.95

By nature of payment

Food and Beverage
$27

Frequently asked questions

Auto-generated from federal data
What is Dr. Jack Moore's medical specialty?
Dr. Jack Moore practices Pediatric Dentist in Roseville, CA.
Where does Dr. Jack Moore practice?
Dr. Jack Moore practices at 700 Sunrise Avenue, Roseville, CA 956614561. Office phone: 9167821209.
What is Dr. Jack Moore's NPI?
Dr. Jack Moore's National Provider Identifier (NPI) is 1982890331, issued by NPPES.