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HWI MOON DDS, MD
NPI 1558776088
Oral & Maxillofacial Surgery in Renton, WA

Active since June 23, 2014Opted out of Medicare · through Dec 15, 2026
601 S CARR RD STE 300, RENTON, WA 98055(425) 277-1844 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2021, Oct 24, 2019, Jul 22, 2019 (3 updates tracked since 2019).

About Hwi Moon Dds, Md NPPES

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

HWI MOON DDS, MD (NPI 1558776088) is an individual oral & maxillofacial surgery provider in Renton, Washington, licensed in Washington (MD61279945) and active in the NPI registry since June 2014. He has opted out of Medicare through December 15, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558776088
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameHWI MOONCredential: DDS, MD
Location Address601 S CARR RD STE 300Renton, WA 98055-5840
Mailing Address601 S Carr Rd Ste 300Renton, WA 98055-5840 · (425) 277-1844
Phone(425) 277-1844
Sole ProprietorNo
Enumeration DateJune 23, 2014
Last NPPES UpdateJune 28, 20223 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1558776088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in WA · MD61279945✔ Licensed in WA · DE61286690✔ Licensed in TX · S9191✔ Licensed in TX · 34932✔ Licensed in PA · DS040106
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DS040106 (PA)
601 S CARR RD STE 300, Renton, WA 98055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Hwi Moon Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2022 through December 15, 2026.

Opt-Out Effective DateDecember 15, 2022
Opt-Out In Effect ThroughDecember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

EDWARDS, JOHNSON, JOHNSON & JOHNSON D.D.S., P.L.L.C.
Dentist (Oral and Maxillofacial Surgery)
601 S CARR RD STE 300
RENTON, WA 98055
King County (425) 277-1844

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 Hwi Moon's NPI number?

The NPI number for Hwi Moon is 1558776088. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Hwi Moon located?

Hwi Moon practices at 601 S Carr Rd Ste 300, Renton, WA 98055. The listed phone number is (425) 277-1844.

What is Hwi Moon's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Hwi Moon enrolled in Medicare?

No. Hwi Moon has opted out of Medicare through December 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Hwi Moon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hwi 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 Hwi Moon was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.