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MRS. CRYSTAL MOON
NPI 1629535810
Prosthetist in Las Vegas, NV

Active since February 25, 2019
354 S DECATUR BLVD, LAS VEGAS, NV 89107(702) 822-1177 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Crystal Moon NPPES

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

MRS. CRYSTAL MOON (NPI 1629535810) is an individual prosthetist provider in Las Vegas, Nevada and active in the NPI registry since February 2019. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1629535810
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameMRS. CRYSTAL MOON
Location Address354 S DECATUR BLVDLas Vegas, NV 89107-2804
Mailing Address354 S Decatur BlvdLas Vegas, NV 89107-2804 · (702) 822-1177
Phone(702) 822-1177
Sole ProprietorNo
Enumeration DateFebruary 25, 2019
✔ NPI 1629535810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
354 S DECATUR BLVD, Las Vegas, NV 89107
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Secondary Practice Location 1

Location 1354 S Decatur BlvdLas Vegas, NV 89107-2804 · Phone (702) 822-1177

Other Providers at the Same Location NPPES

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

MS. ARNE ROXAS
Registered Nurse
354 S DECATUR BLVD
LAS VEGAS, NV 89107
Clark County (702) 822-5844

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 Crystal Moon's NPI number?

The NPI number for Crystal Moon is 1629535810. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Crystal Moon located?

Crystal Moon practices at 354 S Decatur Blvd, Las Vegas, NV 89107. The listed phone number is (702) 822-1177.

What is Crystal Moon's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Crystal Moon was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.