1. Home
  2. Directory
  3. Iowa
  4. Des Moines
  5. Family Medicine
  6. NPI Profile

KENNETH H MOON JR DO
NPI 1447226840
Family Medicine - Addiction Medicine in Des Moines, IA

Active since February 24, 2006
2301 EAST 14TH STREET, DES MOINES, IA 50316(515) 262-0404(515) 262-0489 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth H Moon Jr Do NPPES

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

KENNETH H MOON JR DO (NPI 1447226840) is an individual addiction medicine provider in Des Moines, Iowa, licensed in Iowa (02033) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1447226840
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameKENNETH H MOON JRCredential: DO
Location Address2301 EAST 14TH STREETDes Moines, IA 50316-1901
Mailing Address2301 E 14th StDes Moines, IA 50316-1901 · (515) 262-0404 · Fax (515) 262-0489
Phone(515) 262-0404
Fax(515) 262-0489
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateAugust 9, 2012
✔ NPI 1447226840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in IA · 02033
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
2301 EAST 14TH STREET, Des Moines, IA 50316
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedI16495IA
Medicare PIN719260388IA
Medicare UPIND46556IA
Medicaid1447226840IA
Medicaid2215236IA

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 Kenneth Moon Jr's NPI number?

The NPI number for Kenneth Moon Jr is 1447226840. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Kenneth Moon Jr located?

Kenneth Moon Jr practices at 2301 East 14th Street, Des Moines, IA 50316. The listed phone number is (515) 262-0404.

What is Kenneth Moon Jr's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Kenneth Moon Jr was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.