1. Home
  2. Directory
  3. Arkansas
  4. North Little Rock
  5. Clinic Center
  6. NPI Profile

DR. KERRY MOON, D.D.S., PLLC
NPI 1013658681
Clinic/Center - Dental in North Little Rock, AR

Active since April 06, 2022
2501 CRESTWOOD RD STE 201, NORTH LITTLE ROCK, AR 72116(501) 758-5006 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kerry Moon, D.d.s., Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KERRY MOON, D.D.S., PLLC (NPI 1013658681) is a healthcare organization registered as a dental in North Little Rock, Arkansas and active in the NPI registry since April 2022. The organization lists Kery Moon, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1013658681
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR. KERRY MOON, D.D.S., PLLC
Location Address2501 CRESTWOOD RD STE 201North Little Rock, AR 72116-7616
Mailing Address719 Willow StNorth Little Rock, AR 72114-4637
Phone(501) 758-5006
Organization SubpartNo
Authorized OfficialKery MoonOwner Dentist · (501) 281-5347
Enumeration DateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1013658681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2501 CRESTWOOD RD STE 201, North Little Rock, AR 72116
Open in Google Maps ↗

Other Identifiers 1

Medicaid243554608AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHASE C. DIEMER DDS PLLC
Clinic/Center (Dental)
2501 CRESTWOOD RD STE 201
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 758-5006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Kerry Moon, D.D.S., PLLC's NPI number?

The NPI number for Dr. Kerry Moon, D.D.S., PLLC is 1013658681. It was assigned to this organization in the NPPES registry on April 6, 2022.

Where is Dr. Kerry Moon, D.D.S., PLLC located?

Dr. Kerry Moon, D.D.S., PLLC is located at 2501 Crestwood Rd Ste 201, North Little Rock, AR 72116. The listed phone number is (501) 758-5006.

What is Dr. Kerry Moon, D.D.S., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Dr. Kerry Moon, D.D.S., PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Dr. Kerry Moon, D.D.S., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Kerry Moon, D.D.S., PLLC was last updated on April 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.