Active NPI
Dai Ok Moon, MD
- Orthopaedic Surgery Physician
- Newark, DE
National Provider Identifier
1376537746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- C10002324
- Practice address
- C-83 Omega Drive
Newark, DE 19713 - Phone
- (302) 731-0600
- Fax
- (302) 731-0605
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | C10002324 | DE | Primary |
Addresses
Primary practice location
C-83 Omega Drive
Newark, DE 19713
Mailing address
C-83 Omega Drive
Newark, DE 19713
Phone (302) 731-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10002324 | DE | MD | Orthopaedic Surgery Physician |
| C1-0002324 | DE | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1376537746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C-83 OMEGA DRIVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-731-0600",
"fax_number": "302-731-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C-83 OMEGA DRIVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "302-731-0600",
"fax_number": "302-731-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "DAI",
"middle_name": "OK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "DE",
"license": "C10002324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.