Shinsil Moon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414692 Issued in VA

Practice address

2165 Cunningham Dr
Hampton, VA 23666-2569

Phone

(757) 827-5665

Fax

(757) 827-0121

NPI assigned

Jul 15, 2013

Sex

Female

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.

• Arklatex Family Dental Center

  • Dentist
  • Texarkana, AR
  • NPI 1699960526
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457792749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 RHYME CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033923",
            "telephone_number": "703-477-0395",
            "fax_number": "870-779-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 CUNNINGHAM DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662569",
            "telephone_number": "757-827-5665",
            "fax_number": "757-827-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Pecan St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545333",
            "country_code": "US",
            "telephone_number": "870-779-0411",
            "fax_number": "870-779-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "SHINSIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3956",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese P Montoya, MD
• Moods Counseling and Consulting, LLC
• Nicole Moody-Lloyd, LCSW
• Kenneth Moody Sr.
• Moody'S Family Services
• Moore Care Company Inc.
• Amber Moore, LPC
• Angya M Moore, LCSW
• Frances Leonore Moore
• Kathy Mildrew Moore, R. D.

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.