William A Moon, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN7469 Issued in FL

Practice address

1700 Baker Ave East
Haines City, FL 33844-4325

Phone

(863) 419-3252

Fax

(863) 419-3497

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  • Public Health or Welfare Agency
  • Lakeland, FL
  • NPI 1396732541
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1154481075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "address_2": "ATTN: ACCOUNTS RECEIVABLE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306740",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAKER AVE EAST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444325",
            "telephone_number": "863-419-3252",
            "fax_number": "863-419-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN7469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN7469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jovita Moise-Brown
• Jemima Moise
• Edline Monestime
• Myrna C Monreal, MD
• Nicholas A Montes, PHARMD
• Alyssa Nicole Moore
• Charlyn Ann Moore, LMHC, NCC
• Rosmery Morales Rodriguez
• Moranda Morancy, LMHC
• Namibia Moreno Cabrera

• Public Health Dentistry in Haines City, FL
• Providers in Haines City, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.