Spencer Moon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31392 Issued in TX

Practice address

190 E Stacy Rd Ste 1618
Allen, TX 75002-8770

Phone

(469) 854-6220

NPI assigned

Aug 18, 2015

Sex

Male

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1831565464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARKVIEW CIR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025770",
            "telephone_number": "469-236-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E STACY RD STE 1618",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028770",
            "telephone_number": "469-854-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SPENCER",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Bhatia MD PA (Kids Choice Pediatrics)
• McKenzie Leigh Moninger, COTA
• Jacey Elizabeth Monroe, RN, APRN, PMHNP-BC
• Cheryl-Ann Monteiro, M.D. M.P.H.
• Monterey Psychological Services, PLLC (Dr. Amanda Glover)
• Jacquelyn A Moore, LCSW
• Leah W Moore X
• Hannah Moorehead
• Rachel Sofianna Mora, OD
• Emily Morehead, LPC

• Dentist in Allen, TX
• Providers in Allen, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.