Angela Moon, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856154 Issued in MA

Practice address

367 Washington St
Brighton, MA 02135-2730

Phone

(617) 208-8002

NPI assigned

Nov 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1649524414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 COMMONWEALTH AVE APT 27",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021343612",
            "telephone_number": "248-505-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 WASHINGTON ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352730",
            "telephone_number": "617-208-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arda Abdi Mohamud, LCSW
• Elizabeth Irene Molina Ortiz, MD
• Giulia Molinaro, DO
• Brianna Michelle Molloy, RN
• Thetsu Mon, M.D.
• Richard Hyung Sung Moon, MD
• Emily Moore
• Wendy Moore
• Amanda Morach, LICSW
• Andrew Moraco, M.D.

• Dentist in Brighton, MA
• Providers in Brighton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.