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BEVERLY MOON DMD
NPI 1154558831
Dentist - General Practice in Shawnee, KS

Active since June 19, 2009
5550 HEDGE LANE TER, SHAWNEE, KS 66226(913) 422-6699 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beverly Moon Dmd NPPES

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

BEVERLY MOON DMD (NPI 1154558831) is an individual general practice provider in Shawnee, Kansas, licensed in Kansas (60824) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1154558831
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameBEVERLY MOONCredential: DMD
Location Address5550 HEDGE LANE TERShawnee, KS 66226-2253
Mailing Address1608 S Garfield StJunction City, KS 66441-3966 · (732) 754-1998
Phone(913) 422-6699
Sole ProprietorYes
Enumeration DateJune 19, 2009
Last NPPES UpdateFebruary 27, 2013
✔ NPI 1154558831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KS · 60824
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.
5550 HEDGE LANE TER, Shawnee, KS 66226
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Other Names 1

Former Name (1)Beverly Moulic Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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.

DR. ANDREW STEWART MOORE DDS
Dentist (General Practice)
5550 HEDGE LANE TER
SHAWNEE, KS 66226
Johnson County (913) 422-0007

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 Beverly Moon's NPI number?

The NPI number for Beverly Moon is 1154558831. It was assigned to this individual provider in the NPPES registry on June 19, 2009. The provider is also known as Beverly Moulic Dmd.

Where is Beverly Moon located?

Beverly Moon practices at 5550 Hedge Lane Ter, Shawnee, KS 66226. The listed phone number is (913) 422-6699.

What is Beverly Moon's specialty?

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

What insurance does Beverly Moon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 12 other insurers list Beverly 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 Beverly Moon was last updated on February 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.