AUDREY MOON


Address: 7400 Fannin St, Suite 780, Houston, TX 77054-1920
Phone: 7137901001

AUDREY MOON (NPI# 1831591940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831591940
Entity Type Individual
Full Name AUDREY MOON
Credential DDS, MSD
Practice Address 7400 Fannin St
Suite 780
Houston
TX 77054-1920
Practice Telephone 7137901001
Practice Fax Number 7137901012
Mailing Telephone 7137901001
Mailing Fax Number 7137901012
Enumeration Date 2014-09-19
Last Update Date 2014-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
28170 TX Dental Providers

Office Location

Street Address 7400 FANNIN ST
SUITE 780
City HOUSTON
State TX
Zip Code 77054-1920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023016706 Bernard L. Rosenfeld Obstetrics & Gynecology 7400 Fannin St, Suite 970, Houston, TX 77054-1920 2005-07-07
1780129171 Linville Aesthetic & Reconstructive Surgery Pllc Surgery 7400 Fannin St, Ste 700c, Houston, TX 77054-1920 2016-12-21
1104283662 Mary Louise Rosenfeld Nurse Practitioner 7400 Fannin St, 970, Houston, TX 77054-1920 2016-01-28
1104255074 Linda Egan Physician Assistant 7400 Fannin St, Suite 1050, Houston, TX 77054-1920 2013-11-01
1144657602 Anna Laura Chae Clark Nurse Practitioner 7400 Fannin St, Suite 1050, Houston, TX 77054-1920 2013-09-30
1588006589 Cmg Laboratories, LLC Clinical Medical Laboratory 7400 Fannin St, Suite 700c, Houston, TX 77054-1920 2013-07-19
1609217819 Rocio A Harbison Md Pa Pediatrics 7400 Fannin St, Suite 855, Houston, TX 77054-1920 2013-07-16
1457797607 Stephanie Elaine Meyers Nurse Practitioner 7400 Fannin St, Suite 840, Houston, TX 77054-1920 2013-05-15
1649527193 Cain Robert Linville Surgery 7400 Fannin St, Ste 700, Houston, TX 77054-1947 2012-08-14
1427305358 Mara Alexandra Clapp Obstetrics & Gynecology 7400 Fannin St, Suite 730, Houston, TX 77054-1920 2012-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467006924 Sphinx Pharmacy Group Webster Inc Pharmacy 2656 S Loop W Suite 275, Houston, TX 77054 2019-08-01
1164076618 Pearland Unicare Pharmacy LLC Pharmacy 7400 Fannin Street Suite 120, Houson, TX 77054 2019-08-01
1144873092 Megan Hoenig Genetic Counselor, MS 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 2019-07-19
1043781701 Lisa Vercellino Salazar Nurse Practitioner The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 2018-12-06
1619447257 Karee Harris Specialist/Technologist, Other 7400 Fannin St Suite 850 Tx, Houston, TX 77054 2018-11-27
1245715374 Van Hoai Thi Hoang Pharmacist 2525a Holly Hall, Houston, TX 77054 2018-09-25
1093294639 Yolanda Williams-vasquez Licensed Vocational Nurse 3131 W Bellfort Ave, Houston, TX 77054 2018-08-13
1104304542 Reji Mammen Dentist 2120 El Paseo St., Apt 2607, Houston, TX 77054 2018-07-28
1912484825 Saeed Yazdianpour Dentist 7600 Cambridge St, Houston, TX 77054 2018-07-24
1811480742 Dominik Andrzej Rudecki Student in an Organized Health Care Education/Training Program 7500 Cambridge St, Suite 6510, Houston, TX 77054 2018-06-14
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922648906 Davoody and Hablinski Orthodontics Pllc Dentist 5311 Kirby Dr Ste 209, Houston, TX 77005-1339 2020-01-08
1518431774 Shivani Patel Dentist 1000 Bay Area Blvd Ste A, Houston, TX 77058-1400 2019-01-21
1134693963 Lindsay and Magruder Orthodontics Dentist 1616 Clear Lake City Blvd Ste 108, Houston, TX 77062-8069 2019-01-15
1043706161 Anika Sarah Rodgers Dentist 6701 Fannin St Fl 8, Houston, TX 77030-2608 2018-07-02
1811490170 Allison Piazza Batarse Dentist 7171 Highway 6 N Ste 107, Houston, TX 77095-2422 2018-03-13
1114438942 Amita Damani Dds, Pa Dentist 947 Gessner Rd Ste A240, Houston, TX 77024-1729 2017-10-19
1467977033 Ulysses Hsu Dentist 10936 North Fwy Ste A, Houston, TX 77037-1108 2017-08-04
1154865442 Chetwood Dental Clinic Pllc Dentist 6910 Chetwood Dr Ste C, Houston, TX 77081-5612 2016-12-06
1174972996 Fresh Ortho Care, Pllc Dentist 12168 Bellaire Blvd- Ste. 100, Houston, TX 77072 2016-06-13
1417305269 Fresh Orthodontics, Pllc Dentist 5900 North Fwy, Ste. 105, Houston, TX 77076-4039 2016-06-01
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Competitor

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City HOUSTON
Zip Code 77054

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Dataset Information

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.

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