Ji Moon Sur, DMD
NPI 1174864169 · General Practice Dentistry · Dublin, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ji Moon Sur, DMD is a General Practice Dentistry provider in Dublin, CA (NPI 1174864169).
Provider details
- NPI number
- 1174864169
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DDS105329 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-15
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Ji Moon Sur's NPI number?
- Ji Moon Sur's National Provider Identifier (NPI) is 1174864169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ji Moon Sur's specialty?
- Ji Moon Sur is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ji Moon Sur located?
- Ji Moon Sur's practice location on file with NPPES is 5073 Piper Glen Ter, Dublin, CA 94568-7490.
- What is Ji Moon Sur's phone number?
- The practice phone number listed in the NPPES registry for Ji Moon Sur is (215) 275-4585.
- Does Ji Moon Sur accept Medicare?
- Ji Moon Sur is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ji Moon Sur's NPI active?
- Yes — Ji Moon Sur's NPI (1174864169) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.