Moonridge Martin LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOONRIDGE MARTIN LLC

Practice address

4356 N Oracle Rd Ste 140
Tucson, AZ 85705-1634

Phone

(315) 410-5531

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Valerie Hamilton

Title

Director, Payor Strategy

Phone

(315) 410-5531

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1225864143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887",
            "telephone_number": "315-410-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4356 N ORACLE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051634",
            "telephone_number": "315-410-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONRIDGE MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR, PAYOR STRATEGY",
        "authorized_official_telephone_number": "315-410-5531"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Moon, LPC
• Sanghyuk Moon, AUD
• Ashish Moonat, MD
• Jolisa Moonen, BCBA
• Ted Mooney, LCSW
• Moonstruck Holdings PLLC
• Allison Renee Moore-Crum, LPN
• Allyssa Moore
• Amy Lynn Moore, RDN
• Ann Roberts Moore, NP

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.