Hwi Moon, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD61279945 Issued in WA

Practice address

601 S Carr Rd Ste 300
Renton, WA 98055-5840

Phone

(425) 277-1844

NPI assigned

Jun 23, 2014

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 15, 2022 through Dec 15, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benjamin Johnson DDS, PLLC.

  dba Pacific Northwest Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Burien, WA
  • NPI 1063253672
  NPD
• Edwards, Johnson, Johnson & Johnson D.D.S., P.L.L.C.

  dba Pacific Northwest Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Renton, WA
  • NPI 1255803904
  NPD (past)
• West Texas Maxillofacial Surgery PA

  dba High Desert Oral & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • El Paso, TX
  • NPI 1700178555
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1558776088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840",
            "telephone_number": "425-277-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 300",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555840",
            "telephone_number": "425-277-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "HWI",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040106",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "DE61286690",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "S9191",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "34932",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040106",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WA",
            "license": "MD61279945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Monsrud
• Maurice J Montag, MD
• Oriana Sofia Montiel Montes, SLP
• Daniel J Moon, MD
• Dwana Alana Moon
• Kyungbin Moon, PHARMD
• Carol Moore
• Elizabeth Ann Moore, B.S.
• Jeanne Danielle Moore, MD
• Jennifer Moore, LMHC

• Oral & Maxillofacial Surgery (D.M.D.) in Renton, WA
• Providers in Renton, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.