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BEVERLY MOON DMD LLC
NPI 1962037523
Clinic/Center - Dental in Overland Park, KS

Active since March 04, 2020
4601 W 109TH ST STE 240, OVERLAND PARK, KS 66211(913) 338-3384 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Moon Dmd Llc NPPES

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

BEVERLY MOON DMD LLC (NPI 1962037523) is a healthcare organization registered as a dental in Overland Park, Kansas and active in the NPI registry since March 2020. The organization lists Beverly Moon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1962037523
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBEVERLY MOON DMD LLC
Location Address4601 W 109TH ST STE 240Overland Park, KS 66211-1323
Mailing Address16424 Lucille StOverland Park, KS 66221-7032 · (732) 754-1998
Phone(913) 338-3384
Organization SubpartNo
Authorized OfficialBeverly MoonDentist · (732) 754-1998
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1962037523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4601 W 109TH ST STE 240, Overland Park, KS 66211
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Other Providers at the Same Location NPPES

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

JOSEPH D. GEHA DDS LLC
Clinic/Center (Dental)
4601 W 109TH ST STE 240
OVERLAND PARK, KS 66211
Johnson County (913) 338-3384

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 Beverly Moon Dmd LLC's NPI number?

The NPI number for Beverly Moon Dmd LLC is 1962037523. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Beverly Moon Dmd LLC located?

Beverly Moon Dmd LLC is located at 4601 W 109th St Ste 240, Overland Park, KS 66211. The listed phone number is (913) 338-3384.

What is Beverly Moon Dmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Beverly Moon Dmd LLC was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.