NPI age
9 years
Enumerated 2017-02-01
● Active Type 2 · Organization
Ellis Moon Orthodontics, Pllc
Ellis Moon Orthodontics, Pllc is 1 of 1850 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moon
Managing Member
Last NPPES update
2017-02-01
Source: monthly bulk 2026-05
How this organization compares
Across 1850 active dentist providers in Texas.
NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2015 Broadway St, Suite A
Pearland, TX 775815698
Mailing address
2015 Broadway St, Suite A
Pearland, TX 775815698
Authorized official
Audrey Moon, D.D.S., M.S.D.
Managing Member
📞 2814856003
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Randy Ellis Dentist NPI 1487823191
- Lisa Richardson, DDS Dentist NPI 1992969570
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1850 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.