Doctor profile · Federal record
Dr. Stacey Moon, D.D.S
Dentist · La Jolla, CA
- NPI 1881093300
- 12 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
9500 Gilman Dr
La Jolla, CA 920935004
(858) 822-6448 - Mailing address
-
3141 Stevens Creek Blvd # 117
San Jose, CA 951171141
Credentials & registration
- NPI registered
- August 2014 — 12 yrs on file
- Profile last updated
- February 8, 2021
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #63692
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1881093300. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| American Orthodontics Corporation | 1 | $22.00 |
By nature of payment
Frequently asked questions
What is Dr. Stacey Moon's medical specialty?
Dr. Stacey Moon practices Dentist in La Jolla, CA.
Where does Dr. Stacey Moon practice?
Dr. Stacey Moon practices at 9500 Gilman Dr, La Jolla, CA 920935004. Office phone: 8588226448.
What is Dr. Stacey Moon's NPI?
Dr. Stacey Moon's National Provider Identifier (NPI) is 1881093300, issued by NPPES.