OrganizationActive
Stacy J. Moon DDS, PA
NPI 1851554737 · Dental Clinic/Center · Boise, ID
Stacy J. Moon DDS, PA is a Dental Clinic/Center organization in Boise, ID (NPI 1851554737).
Provider details
- NPI number
- 1851554737
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Moon, President(208) 939-7053
- License
- D3387 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
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
6019 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 939-7053
Fax: (208) 938-6032
Street-level locationGet directions
Mailing address
6019 N Eagle Rd
Boise, ID 83713-0997
Registry dates
- Enumerated
- 2008-07-09
- Last updated
- 2008-07-09
Frequently asked questions
- What is Stacy J. Moon DDS, PA's NPI number?
- Stacy J. Moon DDS, PA's National Provider Identifier (NPI) is 1851554737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stacy J. Moon DDS, PA?
- Stacy J. Moon DDS, PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Stacy J. Moon DDS, PA located?
- Stacy J. Moon DDS, PA's practice location on file with NPPES is 6019 N Eagle Rd, Boise, ID 83713-0997.
- What is Stacy J. Moon DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Stacy J. Moon DDS, PA is (208) 939-7053.
- Who is the authorized official for Stacy J. Moon DDS, PA?
- The authorized official listed on Stacy J. Moon DDS, PA's NPPES record is Stacy Moon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stacy J. Moon DDS, PA's NPI active?
- Yes — Stacy J. Moon DDS, PA's NPI (1851554737) is active in the NPPES registry as of the last update on 2008-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.