DR. CHAN YOUNG MOON
NPI 1326733379
Dentist - Orofacial Pain in Seocho-gu, SEOUL

Active since April 06, 2023
13 SEOCHODAERO, B1 101 HO, MOON'S DENTAL CLINIC, SEOCHO-GU, SEOUL 06569 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Dec 10, 2023, Aug 14, 2023 and 3 more (6 updates tracked since 2023).

About Dr. Chan Young Moon NPPES

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

DR. CHAN YOUNG MOON (NPI 1326733379) is an individual orofacial pain provider in Seocho-gu, SEOUL, licensed in Virginia (0401418565) and active in the NPI registry since April 2023. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326733379
Entity TypeIndividualMale
Primary Taxonomy1223X2210X
Provider Legal NameDR. CHAN YOUNG MOON
Location Address13 SEOCHODAERO, B1 101 HO, MOON'S DENTAL CLINICSeocho-gu, SEOUL 06569
Mailing Address13 Seochodaero, B1 101, Moon's Dental ClinicSeocho-gu, SEOUL 06569
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateApril 15, 20266 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1326733379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orofacial PainDental Providers
Taxonomy Code1223X2210X
License Licensed in VA · 0401418565
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401418565 (VA)

Secondary Practice Locations 2

Location 11 Kneeland StBoston, MA 02111-1527 · Phone (617) 636-6828
Location 23801 Fairfax Dr Ste 24Arlington, VA 22203-1762 · Phone (703) 988-7278

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 Chan Young Moon's NPI number?

The NPI number for Chan Young Moon is 1326733379. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Chan Young Moon located?

Chan Young Moon practices at 13 Seochodaero B1 101 Ho, Moon's Dental Clinic, Seocho-Gu, SEOUL 06569.

What is Chan Young Moon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

When was this NPI record last updated?

The NPPES record for Chan Young Moon was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.