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Active NPI 1225681000 Individual Practitioner Male Practitioner

Dr. Ji Min Moon , DDS

Dentist - General Practice • Barstow, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ji Min Moon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Barstow, CA. Practice services are available at 919 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

919 E Main St

Barstow, CA 923112407

Telephone 7602551206
Associated Practice Facility / Clinic
🏢 Sang H. Yoon Dds, Inc Facility NPI 1114126208

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Barstow, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Barstow, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 103992

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jin Kyu Lee

Dentist - General Practice

NPI 1033583992
Dr. Sungho Hong , DDS

Dentist - General Practice

NPI 1053095281

Doctor of Dental Surgery

Dr. Eunhyo Choi , DDS

Dentist - General Practice

NPI 1598650855

Doctor of Dental Surgery

NPI 1619120250

Doctor of Dental Surgery

Dr. Hyun Bae , DDS

Dentist - General Practice

NPI 1790936581

Doctor of Dental Surgery

NPI 1912627985

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2019

Registered at 919 E MAIN ST, BARSTOW, CA 923112407 (Tel: 7602551206)

📍
Updated Business Mailing Address July 20, 2019

Registered at 25519 CARROL CT, LOMA LINDA, CA 923543700 (Tel: 9512155918)

👤
Provider Name / Credentials Updated July 20, 2019

Recorded as JI MIN MOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2019

Dentist (License #103992 in CA)

🟢
Initial NPI Registration & Enumeration July 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225681000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2019
Last Update: July 20, 2019
Sole Proprietor: No

Mailing Address

25519 Carrol Ct

Loma Linda, CA 923543700

Phone: 9512155918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.