Audrey Moon, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

28170 Issued in TX

Practice address

2015 Broadway St Ste a
Pearland, TX 77581-5696

Phone

(281) 485-6003

Fax

(281) 485-3374

NPI assigned

Sep 19, 2014

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

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.

• Ellis Moon Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearland, TX
  • NPI 1720526593
  NPD (past) Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1831591940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BROADWAY ST STE A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815696",
            "telephone_number": "281-485-6003",
            "fax_number": "281-485-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BROADWAY ST STE A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815696",
            "telephone_number": "281-485-6003",
            "fax_number": "281-485-3374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19433 Highway 6 Ste 130",
            "address_purpose": "LOCATION",
            "city": "Manvel",
            "state": "TX",
            "postal_code": "775783890",
            "country_code": "US",
            "telephone_number": "281-485-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "AUDREY",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "28170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Paige Montoya, MSOT, OTR/L
• Hannah M Montoya
• David C Montz, D.D.S.
• Chassidy Nicole Moody, LVN
• Moon Family Dentistry, PA
• Kristopher Joe Moon, D.D.S
• Beshka Moor
• Moore Family Chiropractic
• Ashley Nicole Moore, RN, FNP-C
• Comfort Moore, APRN

• Orthodontics and Dentofacial Orthopedics Dentistry in Pearland, TX
• Providers in Pearland, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.