KYUNGSIK MOON (NPI# 1730569856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730569856 |
| Entity Type | Individual |
| Full Name | KYUNGSIK MOON |
| Practice Address |
22301 Rockside Rd Bedford OH 44146-1509 |
| Practice Telephone | 4402324222 |
| Practice Fax Number | 4403745279 |
| Mailing Telephone | 4402324222 |
| Mailing Fax Number | 4403745279 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-024506 | OH | Dental Providers |
| Street Address |
22301 ROCKSIDE RD |
| City | BEDFORD |
| State | OH |
| Zip Code | 44146-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487114088 | Xiaomu Guan | Dentist | 22301 Rockside Rd, Bedford, OH 44146-1509 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 1609357276 | Laylah Allen | Community Health Worker | 91 Forest Dr, Bedford, OH 44146 | 2018-08-22 |
| 1427577782 | Katrina Allen | Social Worker | 6118 Eaton Ct., Bedford Hts, OH 44146 | 2017-09-18 |
| 1538686878 | Stephanie Frankel | Registered Nurse | 26364 Bluebird Cove, Bedford, OH 44146 | 2017-08-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1659774438 | Chitaqua Jackson | Licensed Practical Nurse | 860 Broadway Ave, Bedford, OH 44146 | 2014-10-07 |
| Find all providers in zip 44146 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699556 | Kanza Tauqir | Dentist | 41 North Rd Ste 207, Bedford, MA 01730-1037 | 2020-08-14 |
| 1174022370 | Christopher A Emdin Dds Pllc | Dentist | 2200 Airport Fwy Ste 480, Bedford, TX 76022-6048 | 2018-02-03 |
| 1467907642 | Michael Chad Stapleton | Dentist | 2200 Airport Fwy, Suite 480, Bedford, TX 76022-6062 | 2016-08-17 |
| 1013324177 | Maria Patrick | Dentist | 3928 Silverwood Ln, Bedford, TX 76021-3041 | 2014-07-21 |
| 1487061784 | Phanidhar Venkata Reddy Sadda | Dentist | 200 Springs Road, Bldg #2, Dental Clinic, Bedford, MA 01730 | 2014-07-18 |
| 1659782977 | River Road Dental | Dentist | 173 S. River Rd, #5, Bedford, NH 03110 | 2014-05-09 |
| 1336414283 | Amir Kasouha | Dentist | 5210 Taylor Pond Ln, Bedford, MA 01730-4412 | 2012-03-11 |
| 1104103134 | Perla Dental of Bedford | Dentist | 2248 Central Dr, Bedford, TX 76021-5820 | 2011-11-04 |
| 1427334887 | Root Canal Clinic of North Texas | Dentist | 2201 Martin Dr Ste 200, Bedford, TX 76021-6081 | 2011-10-31 |
| 1417241209 | Gayathri Gunda | Dentist | 1600 Bedford Rd Ste 200, Bedford, TX 76021-5702 | 2011-06-08 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on KYUNGSIK MOON.
| 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.