Steven Donghun Moon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019036786 Issued in IL

Practice address

2201 Plum Grove Rd Ste B
Rolling Meadows, IL 60067-9404

Phone

(847) 397-5868

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Chantilly Modern Dentistry, PC

  • Dentist
  • Chantilly, VA
  • NPI 1013405950
  NPD (past)
• Pleasant Valley Dental Care PC

  • Dental Clinic/Center
  • Winchester, VA
  • NPI 1023899010
  NPD (past)
• Springfield Dental Group, PC

  • Dentist
  • Springfield, VA
  • NPI 1053823336
  NPD (past)
• Stanley F Kayes DDS PC

  • Dental Clinic/Center
  • Haymarket, VA
  • NPI 1033266382
  NPD (past)

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1346987732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22217 W CASA BELLA VW",
            "city": "KILDEER",
            "state": "IL",
            "postal_code": "600107283",
            "telephone_number": "703-338-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PLUM GROVE RD STE B",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600679404",
            "telephone_number": "847-397-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "STEVEN",
        "middle_name": "DONGHUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417941",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019036786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Foot Doctors, Inc,
• Palak Modi, DDS
• Frank Moens, PT
• Liara Montesano, PSYD
• Roberto Carlos Montoya Barraza, MD
• Denisse Morales
• Mosaic Wholeness Center LLC
• Sylwia Mozdzen, PHARMD
• Michaela Mueller
• Imman Musa, PH.D.

• General Practice Dentistry in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.