1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Dentist
  6. NPI Profile

MR. BRADLEY MOON
NPI 1326811167
Dentist - General Practice in Indianapolis, IN

Active since November 02, 2023
8602 E 10TH ST, INDIANAPOLIS, IN 46219(309) 269-0390 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Nov 2, 2023 (2 updates tracked since 2023).

About Mr. Bradley Moon NPPES

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

MR. BRADLEY MOON (NPI 1326811167) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (1201-4426A) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1326811167
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. BRADLEY MOON
Location Address8602 E 10TH STIndianapolis, IN 46219-5443
Mailing Address8602 E 10th StIndianapolis, IN 46219-5443 · (309) 269-0390
Phone(309) 269-0390
Sole ProprietorNo
Enumeration DateNovember 2, 2023
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1326811167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 1201-4426A
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.
8602 E 10TH ST, Indianapolis, IN 46219
Open in Google Maps ↗

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.

DR. BRYAN S. SIGG
Dentist (General Practice)
8602 E 10TH ST
INDIANAPOLIS, IN 46219
Marion County (317) 897-8970
MARK MILLER FARTHING DDS
Dentist (General Practice)
8602 E 10TH ST
INDIANAPOLIS, IN 46219
Marion County (317) 898-3384
ARMIN MARKUS TEPNER DDS
Dentist (General Practice)
8602 E 10TH ST
INDIANAPOLIS, IN 46219
Marion County (317) 898-3384
MARK M FARTHING DDS
Dentist
8602 E 10TH ST
INDIANAPOLIS, IN 46219
Marion County (317) 898-3384

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 Bradley Moon's NPI number?

The NPI number for Bradley Moon is 1326811167. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Where is Bradley Moon located?

Bradley Moon practices at 8602 E 10th St, Indianapolis, IN 46219. The listed phone number is (309) 269-0390.

What is Bradley Moon's specialty?

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

When was this NPI record last updated?

The NPPES record for Bradley Moon was last updated on March 18, 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.