JIMMY JOE MOON SR. D.D.S.
NPI 1629077839
Dentist - General Practice in Pasadena, TX

Active since July 19, 2005
2009 JOHN ST, PASADENA, TX 77502(713) 473-6677(713) 473-6778 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy Joe Moon Sr. D.d.s. NPPES

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

JIMMY JOE MOON SR. D.D.S. (NPI 1629077839) is an individual general practice provider in Pasadena, Texas, licensed in Texas (13002) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1629077839
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJIMMY JOE MOON SR.Credential: D.D.S.
Location Address2009 JOHN STPasadena, TX 77502-3375
Mailing Address2009 John StPasadena, TX 77502-3375 · (713) 473-6677 · Fax (713) 473-6778
Fax(713) 473-6778
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 14, 2009
NPI 1629077839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 13002
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.
2009 JOHN ST, Pasadena, TX 77502

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2009 JOHN ST
PASADENA, TX 77502
Dentist (Pediatric Dentistry)
2009 JOHN ST
PASADENA, TX 77502
Clinic/Center (Dental)
2009 JOHN ST
PASADENA, TX 77502

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 Jimmy Moon's NPI number?

The NPI number for Jimmy Moon is 1629077839. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Jimmy Moon located?

Jimmy Moon practices at 2009 John St, Pasadena, TX 77502. The listed phone number is (713) 473-6677.

What is Jimmy Moon's specialty?

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

What insurance does Jimmy Moon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jimmy 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 Jimmy Moon was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.