IndividualActive
Moon Park, LAC
NPI 1235747957 · Acupuncturist · Toledo, OH
Moon Park, LAC is a Acupuncturist provider in Toledo, OH (NPI 1235747957).
Provider details
- NPI number
- 1235747957
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1200 S Detroit Ave
Toledo, OH 43614-5903
Phone: (419) 213-7553
Street-level locationGet directions
Mailing address
11269 Old Frederick Rd
Marriottsville, MD 21104-1518
Additional practice locations (2)
- 11269 Old Frederick RdMarriottsville, MD 21104-1518Phone: (240) 416-0612
- 2215 Fuller RdAnn Arbor, MI 48105-2303Phone: (734) 769-7100
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Moon Park's NPI number?
- Moon Park's National Provider Identifier (NPI) is 1235747957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Moon Park's specialty?
- Moon Park is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Moon Park located?
- Moon Park's practice location on file with NPPES is 1200 S Detroit Ave, Toledo, OH 43614-5903.
- What is Moon Park's phone number?
- The practice phone number listed in the NPPES registry for Moon Park is (419) 213-7553.
- Is Moon Park's NPI active?
- Yes — Moon Park's NPI (1235747957) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.