Doctor profile · Federal record
Dr. Stacy Moon, DDS
Dentist · Boise, ID
- NPI 1881645166
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4266 N Eagle RD
Boise, ID 837130726
(208) 939-7053
fax (208) 938-6032 - Mailing address
-
3550 N Brookside Ln
Boise, ID 837149705
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 6, 2023
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Idaho #D3387
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1881645166. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$611
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 3 | $528.72 | |
| Colgate Oral Pharmaceuticals, INC. | 1 | $39.33 | |
| Straumann USA LLC | 1 | $27.67 | |
| Henry Schein, INC. | 1 | $14.97 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
32
Patients
27
Total drug cost
$94
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 32 | 27 | $94 |
Frequently asked questions
What is Dr. Stacy Moon's medical specialty?
Dr. Stacy Moon practices Dentist in Boise, ID.
Where does Dr. Stacy Moon practice?
Dr. Stacy Moon practices at 4266 N Eagle RD, Boise, ID 837130726. Office phone: 2089397053.
What is Dr. Stacy Moon's NPI?
Dr. Stacy Moon's National Provider Identifier (NPI) is 1881645166, issued by NPPES.