Yoodong Moon, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

1506 Issued in AK

Practice address

3901 Old Seward Hwy
12-A
Anchorage, AK 99503-6089

Phone

(909) 991-5635

NPI assigned

Jul 17, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hase Zahn Inc.

  • Dentist
  • Chicago, IL
  • NPI 1245671676
  NPD (past)
• Precision Dental Care 2, LLC

  • Dentist
  • Chicago, IL
  • NPI 1518280759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1033550199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830N PULASKI RD 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302847",
            "telephone_number": "773-283-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 OLD SEWARD HWY",
            "address_2": "12-A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036089",
            "telephone_number": "909-991-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "YOODONG",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Montgomery, RN
• Stevens Maxwell Montooth, MRC, LMFT
• Honorena Montuya
• Lucas Moody
• Radmila Moon
• Cora Denea Moonin, N/A
• Moore Therapy LLC
• April Moore
• Bonnie Elaine Moore
• Candis Moore, RN

• Dentist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.