Sora Moon, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

65353 Issued in CA

Practice address

3480 Torrance Blvd Ste 221
Torrance, CA 90503-5813

Phone

(310) 425-4508

NPI assigned

Apr 19, 2013

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ellen Sora Moon, DMD, Inc.

  dba Moonlight Dentistry

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1558943308
  Authorized official Same address or phone

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1700220894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 TORRANCE BLVD STE 221",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035813",
            "telephone_number": "310-543-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 TORRANCE BLVD STE 221",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035813",
            "telephone_number": "310-425-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20264 Estuary Ln.",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "92660",
            "country_code": "US",
            "telephone_number": "949-423-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "SORA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Monzon, AGNP
• Christine Theresa Moody, M.A.
• Hae Jung Moon, ABO, NCLE
• Jessica Rene' Moon
• Seung-Hee Moon, PHYSICIANS ASSISTANT
• Alyssa Laxamana Mooney, NP
• Aljanon Moore
• Edie Moore, NP
• Frandelia S. Moore
• James A Moore

• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.