Doctor profile · Federal record
Dr. Shannon Moore, DMD MSED
Dentist · Bloomington, IN
- NPI 1194855205
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2815 N Walnut Street
Bloomington, IN 474042077
(812) 332-1405
fax (812) 332-4331
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- March 16, 2022
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Indiana #12010311A
- Medicaid
- IN #200326230
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1194855205. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$77
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 1 | $53.33 | |
| Straumann USA LLC | 1 | $23.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
35
Patients
21
Total drug cost
$211
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 21 | $65 |
| Sf 5000 Plus (Fluoride (Sodium)) | Brand | 13 | 0 | $146 |
Frequently asked questions
What is Dr. Shannon Moore's medical specialty?
Dr. Shannon Moore practices Dentist in Bloomington, IN.
Where does Dr. Shannon Moore practice?
Dr. Shannon Moore practices at 2815 N Walnut Street, Bloomington, IN 474042077. Office phone: 8123321405.
What is Dr. Shannon Moore's NPI?
Dr. Shannon Moore's National Provider Identifier (NPI) is 1194855205, issued by NPPES.