NPIMap

Organization Active NPI

David D.Moon, D.O., LTD

  • Adult Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1932466935
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
705 Issued in NV
Legal business name
DAVID D.MOON, D.O., LTD
Practice address
241 N Buffalo Dr
BLDG. 1
Las Vegas, NV 89145-0306
Phone
(702) 876-2225
Fax
(702) 876-9307
NPI assigned
Apr 13, 2012
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. David Dewayne Moon, D.O.
Title
Owner
Phone
(702) 876-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 705 NV Primary

Addresses

Primary practice location

241 N Buffalo Dr
BLDG. 1
Las Vegas, NV 89145-0306

Mailing address

241 N Buffalo Dr
BLDG. 1
Las Vegas, NV 89145-0306
Phone (702) 876-2225

National Provider Directory

National Provider Directory

Locations

2895 N Green Valley Pkwy
Ste F
Henderson, NV 89014
Phone (702) 450-1100

241 N Buffalo Dr
Bldg 1
Las Vegas, NV 89145
Phone (702) 876-2225

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1932466935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N BUFFALO DR",
            "address_2": "BLDG. 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450306",
            "telephone_number": "702-876-2225",
            "fax_number": "702-876-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N BUFFALO DR",
            "address_2": "BLDG. 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450306",
            "telephone_number": "702-876-2225",
            "fax_number": "702-876-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D.MOON, D.O., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-876-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NV",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.