Doctor profile · Federal record
Dr. Kelly Moore, DDS
Dentist · Mound, MN
- NPI 1790277416
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5205 Shoreline Dr
Mound, MN 553641770
(952) 831-2800 - Additional location
-
132 Pioneer Trl
Chaska, MN 553181167
(952) 900-4354
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- April 10, 2025
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Minnesota #D14010
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790277416. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$314
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimvie INC. | 4 | $262.88 | |
| Dentsply Sirona INC | 1 | $51.49 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
23
Patients
21
Total drug cost
$84
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 23 | 21 | $84 |
Frequently asked questions
What is Dr. Kelly Moore's medical specialty?
Dr. Kelly Moore practices Dentist in Mound, MN.
Where does Dr. Kelly Moore practice?
Dr. Kelly Moore practices at 5205 Shoreline Dr, Mound, MN 553641770. Office phone: 9528312800.
What is Dr. Kelly Moore's NPI?
Dr. Kelly Moore's National Provider Identifier (NPI) is 1790277416, issued by NPPES.