Moonlight Sleep Remedies Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOONLIGHT SLEEP REMEDIES INC

Practice address

511 SW 10TH Ave Ste 1212
Portland, OR 97205-2713

Phone

(503) 505-4624

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mika Miyamoto, DMD

Title

Dentist / Owner

Phone

(503) 705-8648

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1073227294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052713",
            "telephone_number": "503-505-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052713",
            "telephone_number": "503-505-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT SLEEP REMEDIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "MIKA",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "503-705-8648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Mooney, DO
• Luna Michael Mooney
• Ryan Mooney
• William M Mooney, M.D.
• Moonlight Acupuncture LLC
• Moonlight Therapies LLC
• Moonwell Therapy LLC
• Moore Care Providers
• Moore Therapy Services, LLC
• Tamu Y Moore-Smith, DNP, CRNP

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.