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JOHN MOON
NPI 1114729290
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 27, 2025
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Moon NPPES

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

JOHN MOON (NPI 1114729290) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1114729290
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN MOON
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address207 Denver RdParamus, NJ 07652-3205
Phone(617) 636-6828
Sole ProprietorYes
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1114729290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 KNEELAND ST, Boston, MA 02111
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Other Providers at the Same Location NPPES 20

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

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 John Moon's NPI number?

The NPI number for John Moon is 1114729290. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is John Moon located?

John Moon practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is John Moon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Moon was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.