SORA MOON D.M.D.
NPI 1700220894
Dentist in Torrance, CA

Q: What is Sora Moon's NPI number?

The NPI number for Sora Moon is 1700220894. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Sora Moon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sora Moon was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 19, 2013PECOS Enrolled

3480 TORRANCE BLVD STE 221, TORRANCE, CA 90503(310) 425-4508 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2021, Apr 23, 2021, Oct 31, 2016 (3 updates tracked since 2016).

On this page

About Sora Moon D.m.d. NPPES

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

SORA MOON D.M.D. (NPI 1700220894) is an individual dentist in Torrance, California, licensed in California (65353) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport Beach.

NPPES Registry Identity

NPI1700220894

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSORA MOONCredential: D.M.D.

Location Address3480 TORRANCE BLVD STE 221Torrance, CA 90503-5813

Mailing Address3480 Torrance Blvd Ste 221Torrance, CA 90503-5813 · (310) 543-3505

Phone(310) 425-4508

Sole ProprietorNo

Enumeration DateApril 19, 2013

Last NPPES UpdateMay 24, 20213 updates tracked since enumeration

NPPES CertifiedMay 12, 2021

✔ NPI 1700220894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 65353

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3480 TORRANCE BLVD STE 221, Torrance, CA 90503

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Secondary Practice Location 1

Location 120264 Estuary Ln.Newport Beach, CA 92660 · Phone (949) 423-6046

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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)

Sora Moon D.m.d. 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 90503 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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

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

ELLEN SORA MOON, DMD, INC.

Dentist (General Practice)

3480 TORRANCE BLVD STE 221
TORRANCE, CA 90503

Los Angeles County (310) 425-4508

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 Sora Moon's NPI number?

The NPI number for Sora Moon is 1700220894. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Sora Moon located?

Sora Moon practices at 3480 Torrance Blvd Ste 221, Torrance, CA 90503. The listed phone number is (310) 425-4508.

What is Sora Moon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sora Moon enrolled in Medicare?

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

What insurance does Sora Moon accept?

Health plans from Humana list Sora 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 Sora Moon was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.