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DR. JI MIN MOON DDS
NPI 1225681000
Dentist - General Practice in Barstow, CA

Active since July 20, 2019
919 E MAIN ST, BARSTOW, CA 92311(760) 255-1206 Get Directions Write a Review

NPPES record last updated: July 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ji Min Moon Dds NPPES

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

DR. JI MIN MOON DDS (NPI 1225681000) is an individual general practice provider in Barstow, California, licensed in California (103992) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1225681000
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JI MIN MOONCredential: DDS
Location Address919 E MAIN STBarstow, CA 92311-2407
Mailing Address25519 Carrol CtLoma Linda, CA 92354-3700 · (951) 215-5918
Phone(760) 255-1206
Sole ProprietorNo
Enumeration DateJuly 20, 2019
✔ NPI 1225681000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 103992
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.
919 E MAIN ST, Barstow, CA 92311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

SUNGHO HONG DDS
Dentist (General Practice)
919 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-1206
EUNHYO CHOI DDS
Dentist (General Practice)
919 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-1206
DR. CAMILLE M ORTEGA DDS
Dentist (General Practice)
919 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 256-2425
DO YOUNG JANG DDS
Dentist
919 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-1206

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 Ji Min Moon's NPI number?

The NPI number for Ji Min Moon is 1225681000. It was assigned to this individual provider in the NPPES registry on July 20, 2019.

Where is Ji Min Moon located?

Ji Min Moon practices at 919 E Main St, Barstow, CA 92311. The listed phone number is (760) 255-1206.

What is Ji Min Moon's specialty?

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

What insurance does Ji Min Moon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Ji Min 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 Ji Min Moon was last updated on July 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.