DR. JAKE HYUN MOON D.D.S.
NPI 1669722658
Dentist - General Practice in Aubrey, TX

Active since September 17, 2012PECOS Enrolled
26795 US HIGHWAY 380 E STE 400, AUBREY, TX 76227(972) 347-6200 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jake Hyun Moon D.d.s. NPPES

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

DR. JAKE HYUN MOON D.D.S. (NPI 1669722658) is an individual general practice provider in Aubrey, Texas, licensed in Texas (34971) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669722658
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAKE HYUN MOONCredential: D.D.S.
Location Address26795 US HIGHWAY 380 E STE 400Aubrey, TX 76227-7895
Mailing Address26795 Us Highway 380 E Ste 400Aubrey, TX 76227-7895 · (972) 347-6200
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
NPI 1669722658 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 · 34971
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.
26795 US HIGHWAY 380 E STE 400, Aubrey, TX 76227

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jake Hyun Moon D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Dental)
26795 US HIGHWAY 380 E STE 400
AUBREY, TX 76227
Dentist (General Practice)
26795 US HIGHWAY 380 E STE 400
AUBREY, TX 76227
Dentist (General Practice)
26795 US HIGHWAY 380 E STE 400
AUBREY, TX 76227

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 Jake Moon's NPI number?

The NPI number for Jake Moon is 1669722658. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Jake Moon located?

Jake Moon practices at 26795 Us Highway 380 E Ste 400, Aubrey, TX 76227. The listed phone number is (972) 347-6200.

What is Jake Moon's specialty?

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

Is Jake Moon enrolled in Medicare?

Yes. Jake Moon is registered in the Medicare PECOS enrollment system.

What insurance does Jake Moon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Jake 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 Jake Moon was last updated on February 15, 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.