Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jared L Moon, DPM

Individual provider Podiatrist · NPI 1649546284

Dr. Jared L Moon, DPM is a Podiatry in Crown Point, Indiana. Qualified in 2009, 17 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
17
Licensed in
GA, IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

10607 Randolph St
Crown Point, IN 46307-7504
Phone: (262) 366-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 99053018A (IN)
Podiatrist Taxonomy 213E00000X · Licence POD001156 (GA)

Record details

NPI number1649546284
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESAugust 17, 2012
Mailing address10607 Randolph St, Crown Point, IN 46307-7504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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