Organization Active NPI

Moonlight Electrolysis LLC

  • Other Specialist/Technologist
  • Newberg, OR
National Provider Identifier
1144167529
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
MOONLIGHT ELECTROLYSIS LLC
Practice address
1505 E Portland Rd Ste 206
Newberg, OR 97132-1852
Phone
(971) 258-0035
NPI assigned
May 2, 2026
Last updated
May 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Authorized official

Name
Mark Kenneth Smith, LENPI 1669296323
Title
Business Owner
Phone
(971) 258-0035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X NU Primary

Addresses

Primary practice location

1505 E Portland Rd Ste 206
Newberg, OR 97132-1852

Mailing address

904 NW Yamhill St
McMinnville, OR 97128-5061
Phone (971) 258-0035

National Provider Directory

National Provider Directory

Locations

1505 E Portland Rd
Ste 206
Newberg, OR 97132
Phone (971) 258-0035

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777680000000",
    "number": "1144167529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NW YAMHILL ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285061",
            "telephone_number": "971-258-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E PORTLAND RD STE 206",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321852",
            "telephone_number": "971-258-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT ELECTROLYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-02",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "971-258-0035",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.