KYONG-HWA MOON DMD
NPI 1023390382
Dentist - General Practice in Canastota, NY

Q: What is Kyong-hwa Moon's NPI number?

The NPI number for Kyong-hwa Moon is 1023390382. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Q: What is Kyong-hwa Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyong-hwa Moon was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2011

3167 SENECA TPKE, CANASTOTA, NY 13032(315) 697-9321 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kyong-hwa Moon Dmd NPPES

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

KYONG-HWA MOON DMD (NPI 1023390382) is an individual general practice provider in Canastota, New York, licensed in New York (063569) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1023390382

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKYONG-HWA MOONCredential: DMD

Location Address3167 SENECA TPKECanastota, NY 13032-5101

Mailing Address3167 Seneca TpkeCanastota, NY 13032-5101 · (315) 697-9321

Phone(315) 697-9321

Sole ProprietorNo

Enumeration DateSeptember 13, 2011

Last NPPES UpdateJanuary 24, 2024

NPPES CertifiedJanuary 24, 2024

✔ NPI 1023390382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in NY · 063569✔ Licensed in OR · D9600

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3167 SENECA TPKE, Canastota, NY 13032

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Kyong-hwa Moon's NPI number?

The NPI number for Kyong-hwa Moon is 1023390382. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Kyong-hwa Moon located?

Kyong-hwa Moon practices at 3167 Seneca Tpke, Canastota, NY 13032. The listed phone number is (315) 697-9321.

What is Kyong-hwa Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kyong-hwa Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Kyong-hwa Moon 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 Kyong-hwa Moon was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.