Doctor profile · Federal record

Dr. Sophie Moon

General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Chicago, IL

  • NPI 1457970147
  • 6 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
801 S Paulina St Rm 131
Chicago, IL 606127210
(312) 996-7138
Mailing address
4529 Gilbertson RD
Fairfax, VA 220323615

Credentials & registration

NPPES · NUCC
NPI registered
April 2020 — 6 yrs on file
Profile last updated
June 23, 2022
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Illinois #019.032544

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457970147. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$96
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Align Technology, INC. 1 $75.00
Solventum Corporation 1 $21.15

By nature of payment

Consulting Fee
$75
Food and Beverage
$21

Frequently asked questions

Auto-generated from federal data
What is Dr. Sophie Moon's medical specialty?
Dr. Sophie Moon practices General Practice Dentistry in Chicago, IL.
Where does Dr. Sophie Moon practice?
Dr. Sophie Moon practices at 801 S Paulina St Rm 131, Chicago, IL 606127210. Office phone: 3129967138.
What is Dr. Sophie Moon's NPI?
Dr. Sophie Moon's National Provider Identifier (NPI) is 1457970147, issued by NPPES.