ELLIS MOON ORTHODONTICS, PLLC
NPI 1720526593
Dentist - Orthodontics and Dentofacial Orthopedics in Pearland, TX

Active since February 01, 2017
2015 BROADWAY ST, SUITE A, PEARLAND, TX 77581(281) 485-6003(281) 485-3376 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellis Moon Orthodontics, Pllc NPPES

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

ELLIS MOON ORTHODONTICS, PLLC (NPI 1720526593) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Pearland, Texas and active in the NPI registry since February 2017. The organization lists Audrey Moon, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1720526593
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameELLIS MOON ORTHODONTICS, PLLC
Location Address2015 BROADWAY ST, SUITE APearland, TX 77581-5698
Mailing Address2015 Broadway St, Suite APearland, TX 77581-5698 · (281) 485-6003 · Fax (281) 485-3376
Fax(281) 485-3376
Organization SubpartNo
Authorized OfficialAudrey MoonManaging Member · (281) 485-6003
Enumeration DateFebruary 1, 2017
NPI 1720526593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in TX · 15404 Licensed in TX · 28170
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
2015 BROADWAY ST, Pearland, TX 77581

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 (Pediatric Dentistry)
2015 BROADWAY ST, SUITE B
PEARLAND, TX 77581
Dentist (Orthodontics and Dentofacial Orthopedics)
2015 BROADWAY ST
PEARLAND, TX 77581
Dentist (Pediatric Dentistry)
2015 BROADWAY ST, SUITE B
PEARLAND, TX 77581

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 Ellis Moon Orthodontics, PLLC's NPI number?

The NPI number for Ellis Moon Orthodontics, PLLC is 1720526593. It was assigned to this organization in the NPPES registry on February 1, 2017.

Where is Ellis Moon Orthodontics, PLLC located?

Ellis Moon Orthodontics, PLLC is located at 2015 Broadway St Suite A, Pearland, TX 77581. The listed phone number is (281) 485-6003.

What is Ellis Moon Orthodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Ellis Moon Orthodontics, PLLC was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.