OrganizationActive
Beverly Moon DMD LLC
NPI 1962037523 · Dental Clinic/Center · Overland Park, KS
Provider details
- NPI number
- 1962037523
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beverly Moon, Dentist(732) 754-1998
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4601 W 109th St Ste 240
Overland Park, KS 66211-1323
Phone: (913) 338-3384
Street-level locationGet directions
Mailing address
16424 Lucille St
Overland Park, KS 66221-7032
Registry dates
- Enumerated
- 2020-03-04
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.