DR. MARTY GEORGE MOON (NPI# 1043295439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043295439 |
| Entity Type | Individual |
| Full Name | DR. MARTY GEORGE MOON |
| Credential | D.D.S. |
| Practice Address |
6900 Georgia Ave. Nw Building 2, Room 1d02 Washington DC 20307-5400 |
| Mailing Address |
6900 Georgia Ave. Nw Building T20, Room 206a Washington DC 20307-5400 |
| Practice Telephone | 2027826881 |
| Practice Fax Number | 2027826987 |
| Mailing Telephone | 2027820988 |
| Mailing Fax Number | 2027829195 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
9954 | GA | Dental Providers |
| Street Address |
6900 GEORGIA AVE. NW BUILDING 2, ROOM 1D02 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20307-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447235817 | Philip Denicolo | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| 1831352913 | Benjamin Palmer | Student in an Organized Health Care Education/Training Program | 6900 Georgia Ave. Nw, Wramc, Bldg 2, Dept of Gme, Washington, DC 20307 | 2008-07-08 |
| 1942366224 | Charles S Milliken | Psychiatry & Neurology | 6900 Georgia Ave. Nw, Wramc, Bldg 6, Department of Psychiatry, Washington, DC 20307-5001 | 2006-12-29 |
| 1558423533 | Julia A Lynch | Pediatrics | 6900 Georgia Ave. Nw, Wramc, Bldg 2, Department of Pediatrics, Washington, DC 20307 | 2006-12-15 |
| 1811058993 | William John Huleatt | Social Worker | 6900 Georgia Ave. Nw, Wramc Bldg 6, Department of Social Work, Washington, DC 20307-5001 | 2006-12-13 |
| 1306938956 | Ronald George Riechers II | Psychiatry & Neurology | 6900 Georgia Ave. Nw, Department of Neurology, Rm 6243, Washington, DC 20307 | 2006-09-29 |
| 1043295231 | Thomas Spalding Sympson | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-09 |
| 1912982158 | Mark Leonard Wiesner | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-09 |
| 1548245947 | Vesna Ele | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| 1053396440 | Ming Ted Wong | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659395 | Mohammad Akbar Hashemi | Physician Assistant | 6900 Gerogia Ave Nw Washington, Distric of Columbia, DC 20307 | 2008-05-13 |
| 1457557118 | Aaric Queen | Anesthesiology | Wramc, Bldg 2, 2j38, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-06-21 |
| 1285838193 | Daryl L Griffin | Anesthesiology | 6900 Nw Georgia Ave, Washington Dc, DC 20307 | 2007-06-13 |
| 1790999183 | Brendan Thomas Doherty | Radiology | Department of Radiology,walter Reed Army Medical Center, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-05-09 |
| 1598983348 | Timothy Paul Brown | Psychiatry & Neurology | Walter Reed Army Medical Center, Dept of Psychiatry, 6900 Georgia Ave Nw, Bldg. 6, Borden Pavilion, Washington, DISTRICT OF COLUMBIA 20307 | 2007-04-24 |
| 1912049008 | Mark Vincent Farinas | Occupational Therapist | Walter Reed Army Medical Ctr, Dept of Pediatrics, 6900 Georgia Avenue, Washington, DC 20307 | 2007-02-13 |
| 1497841076 | Kathleen Uhl | Family Medicine | Walter Reed Army Hospital, 6900 Georgia Ave., Washington, DC 20307 | 2006-10-04 |
| 1760581565 | Scott M Croll | Anesthesiology | Wramc, Bld 2 Wd 44 Anesthesia, 6900 Georgia Ave, Washington, DC 20307 | 2006-09-21 |
| 1295719359 | Steven Arnold Taylor | Dentist | Wramc Dept of Oral Surgery, 6900 Georgia Ave Nw, Washington, DC 20307 | 2005-12-02 |
| 1912991951 | Mark Jason Roschewski | Internal Medicine | 6900 Georgia Ave Nw, Walter Reed Army Med Center, Washington, DC 20307 | 2005-09-06 |
| Find all providers in zip 20307 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558927822 | Dubose Prosthodontics | Dentist | 5437 Connecticut Ave Nw Apt 203, Washington, DC 20015-2706 | 2019-05-13 |
| 1659837417 | Daniel Andrew Pinto | Dentist | 2440 M St Nw Ste 610, Washington, DC 20037-1497 | 2019-02-18 |
| 1396137642 | Amelia L Orta | Dentist | 1234 19th St Nw Ste 306, Washington, DC 20036-2468 | 2015-02-24 |
| 1962677559 | Christos Constantin Loukaitis | Dentist | 4434 Macarthur Blvd Nw, Suite 101, Washington, DC 20007-2500 | 2008-04-24 |
| 1740454800 | Ayodeji Timothy Idowu | Dentist | 1900 Massachusetts Avenue Se, Washington, DC 20003 | 2008-04-18 |
| 1528283975 | Hamid Reza Shafie | Dentist | 1426 21st St Nw, 2nd Floor, Washington, DC 20036-5947 | 2007-04-13 |
| 1043346489 | Gerald M Marlin | Dentist | 4400 Jenifer Street Nw, Suite 220, Washington, DC 20015 | 2007-02-27 |
| 1366543951 | Michael Thomas Curran | Dentist | Vamc Dental Service 50 Irving St Nw, Washington, DC 20422-0001 | 2006-09-26 |
| 1255356473 | James Preble | Dentist | 2100 2nd St Sw Ste 5314, Washington, DC 20593-0002 | 2006-07-12 |
| 1073547337 | Richard Leupold | Dentist | 50 Irving St., Nw, Vamc Washington -dental 160, Washington, DC 20422-0001 | 2006-07-10 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.