Jungsoo Moon, DDS
NPI 1669624888 · Orthodontics and Dentofacial Orthopedics Dentistry · Worcester, MA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jungsoo Moon, DDS is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Worcester, MA (NPI 1669624888).
Provider details
- NPI number
- 1669624888
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN015188 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-10-21
- Last updated
- 2017-08-20
Frequently asked questions
- What is Jungsoo Moon's NPI number?
- Jungsoo Moon's National Provider Identifier (NPI) is 1669624888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jungsoo Moon's specialty?
- Jungsoo Moon is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Jungsoo Moon located?
- Jungsoo Moon's practice location on file with NPPES is 10 Winthrop St, Worcester, MA 01604-4435.
- What is Jungsoo Moon's phone number?
- The practice phone number listed in the NPPES registry for Jungsoo Moon is (508) 755-2207.
- Does Jungsoo Moon accept Medicare?
- Jungsoo Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jungsoo Moon's NPI active?
- Yes — Jungsoo Moon's NPI (1669624888) is active in the NPPES registry as of the last update on 2017-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.