What is Gerald Moon's NPI number?

Gerald Moon's National Provider Identifier (NPI) is 1669516688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gerald Moon's specialty?

Gerald Moon is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Gerald Moon located?

Gerald Moon's practice location on file with NPPES is 2809 W Willow Knolls Rd, Peoria, IL 61614.

What is Gerald Moon's phone number?

The practice phone number listed in the NPPES registry for Gerald Moon is (309) 682-2090.

Is Gerald Moon's NPI active?

Yes — Gerald Moon's NPI (1669516688) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Gerald Moon, DDS

NPI 1669516688 · Dentist · Peoria, IL

Gerald Moon, DDS is a Dentist provider in Peoria, IL (NPI 1669516688).

Provider details

NPI number: 1669516688
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 19A13409 (IL)

Specialties & taxonomies

DentistPrimary122300000XLicense 19A13409 (IL)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

2809 W Willow Knolls Rd

G Rodger Moon DDS

Peoria, IL 61614

Phone: (309) 682-2090

Fax: (309) 682-0903

Street-level locationGet directions

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Mailing address