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SOPHIE JU HYUNG MOON
NPI 1457970147
Dentist - General Practice in Chicago, IL

Active since April 13, 2020
801 S PAULINA ST RM 131, CHICAGO, IL 60612(312) 996-7138 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sophie Ju Hyung Moon NPPES

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

SOPHIE JU HYUNG MOON (NPI 1457970147) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.032544) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1457970147
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSOPHIE JU HYUNG MOON
Location Address801 S PAULINA ST RM 131Chicago, IL 60612-7210
Mailing Address4529 Gilbertson RdFairfax, VA 22032-3615 · (202) 480-4420
Phone(312) 996-7138
Sole ProprietorYes
Enumeration DateApril 13, 2020
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1457970147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.032544
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 S PAULINA ST RM 131, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. LINDSAY FISHER DMD
Dentist
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (312) 996-7555
FLAVIO JOSE CASTELLI SANCHEZ BDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (312) 523-9228
DR. YOUNGJAE SUNG DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MOHAMMED H ELNAGAR DDS,MSC
Dentist (Orthodontics and Dentofacial Orthopedics)
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (312) 996-7505
STEPHEN THOMAS TREACY
Dentist (Orthodontics and Dentofacial Orthopedics)
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (860) 372-0515
DR. AMANDA NICOLE NIKHO DMD
Dentist (General Practice)
801 S PAULINA ST RM 131
CHICAGO, IL 60612
Cook County (708) 831-1489

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 Sophie Moon's NPI number?

The NPI number for Sophie Moon is 1457970147. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Sophie Moon located?

Sophie Moon practices at 801 S Paulina St Rm 131, Chicago, IL 60612. The listed phone number is (312) 996-7138.

What is Sophie Moon's specialty?

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

What insurance does Sophie Moon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Montana and 13 other insurers list Sophie 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 Sophie Moon was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.