Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Gerald Rodger Moon, DDS

Dentist in Peoria, IL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669516688

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Registry record

Entity type Individual (Type 1)

Name Dr. Gerald Rodger Moon

Credential DDS

Sex Male

Practice address 2809 W Willow Knolls Rd, G Rodger Moon DDS, Peoria, IL, 61614

Phone (309) 682-2090

Fax (309) 682-0903

Enumeration date Feb 16, 2007

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

122300000X Dentist Dental Providers · License 19A13409 (IL) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Gerald Moon's NPI record?

Cross-check NPI 1669516688 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1669516688 active?

Yes, as of the latest NPPES snapshot, NPI 1669516688 is active (record last updated 2007-07-08).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.