OrganizationActive
Ellis Moon Orthodontics, PLLC
NPI 1720526593 · Orthodontics and Dentofacial Orthopedics Dentistry · Pearland, TX
Provider details
- NPI number
- 1720526593
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Audrey Moon, Managing Member(281) 485-6003
- License
- 28170 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2015 Broadway St
Suite a
Pearland, TX 77581-5698
Phone: (281) 485-6003
Fax: (281) 485-3376
Street-level locationGet directions
Mailing address
2015 Broadway St
Pearland, TX 77581-5698
Registry dates
- Enumerated
- 2017-02-01
- Last updated
- 2017-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.