Shannon Kenneth Moore, DMD, MSED
- Part D claims, 2024
- 69
- Industry payments
- $459
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice address
- 2815 N Walnut St, Bloomington, IN 47404
- Practice phone
- Call (812) 332-1405
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Create A Smile Dentistry
Physician office · Bloomington, Indiana
Find Shannon Moore's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shannon Kenneth Moore is a dentist in Indianapolis, Indiana
Shannon Moore practices at Create A Smile Dentistry in Bloomington, Indiana.
Shannon Moore's NPI, 1194855205, was assigned on March 7, 2007. Shannon Moore holds Indiana license 12010311A.
- NPI
- 1194855205NPI Registry (opens in a new tab)
- NPI enumeration date
- March 7, 2007
- NPI status
- Active
- Practice phone
- (812) 332-1405
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Shannon Kenneth Moore practices in Bloomington and Indianapolis
Shannon Moore's primary practice is Create A Smile Dentistry, at 2815 N Walnut St, Bloomington, IN 47404. The practice phone is (812) 332-1405. The NPI Registry lists Shannon Moore's practice address as 250 N Shadeland Ave, Indianapolis, IN 46219.
- Create A Smile DentistryPrimary2815 N Walnut St, Bloomington, IN 47404Phone(812) 332-1405
- NPI Registry address250 N Shadeland Ave, Indianapolis, IN 46219 · Marion County
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Shannon Kenneth Moore is affiliated with 1 site of care
Shannon Moore's primary practice is Create A Smile Dentistry in Bloomington, Indiana.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Shannon Kenneth Moore's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shannon Moore practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Create A Smile Dentistry | Available with a free account |
Source: Dmand AI Technology Install Data
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Shannon Kenneth Moore is one of 778 dentists in Indiana
Dentist is Shannon Moore's primary specialty in the NPI Registry, under taxonomy code 122300000X. Shannon Moore is licensed in Indiana.
Specialties and state licenses
- Dentist, IndianaPrimary
Dentists near Shannon Moore
Counts of dentists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shannon Kenneth Moore's patients have a median age of 36
Across all payers, Dmand AI patient panel data puts Shannon Moore's median patient age at 36, with 50% women.
Shannon Moore's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 36
Patient panel by sex, all payers
- Women50%
- Men50%
Source: Dmand AI Patient Panel Data
Shannon Kenneth Moore wrote 69 Medicare Part D claims in 2024
In 2024, Shannon Moore wrote 69 Medicare Part D claims for 46 patients. 80% of them were for generic drugs.
Shannon Moore's Part D claims by kind of drug, 2024
- Generic55 claims80%
- Other14 claims20%
Drug classes CMS tracks in Shannon Moore's Part D claims, 2024
- Antibiotics64%44 of 69 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
For MedTech and pharma teams
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Shannon Kenneth Moore received $459 in industry payments in 2025
CMS Open Payments shows 2 general payments to Shannon Moore from 1 drug or device company in 2025. Education make up the largest share, 65% of the total. Straumann USA LLC paid the most, $459.
General payments to Shannon Moore by kind, 2025 to 2025
- Education$30065%
- Food and beverage$15935%
Companies that paid Shannon Moore the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Shannon Kenneth Moore's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shannon Kenneth Moore
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Shannon Kenneth Moore's NPI number?
Shannon Kenneth Moore's NPI number is 1194855205. It was assigned on March 7, 2007, and it is active in the NPI Registry.
What does Shannon Kenneth Moore specialize in?
Shannon Kenneth Moore is a dentist in Indianapolis, Indiana. The primary specialty in the NPI Registry is Dentist (taxonomy code 122300000X).
Where does Shannon Kenneth Moore practice?
Shannon Moore practices at 2815 N Walnut St, Bloomington, IN 47404. Shannon Moore also practices at 250 N Shadeland Ave, Indianapolis, IN 46219. Shannon Moore's primary practice is Create A Smile Dentistry in Bloomington, Indiana.
What is Shannon Kenneth Moore's office phone number?
The practice phone on file for Shannon Moore is (812) 332-1405.
What is Shannon Kenneth Moore's medical license number?
Shannon Moore holds Indiana license 12010311A.
Has Shannon Kenneth Moore received payments from drug or device companies?
CMS Open Payments shows $459 in general payments to Shannon Moore from 1 company from 2025 to 2025. The largest total came from Straumann USA LLC.
How long has Shannon Kenneth Moore been practicing?
Shannon Moore's NPI was assigned in 2007.
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