Christine Mousa, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12012520A Issued in IN

Practice address

6075 Cleveland Cir
Merrillville, IN 46410-2378

Phone

(219) 769-6316

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Christin Girgis Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1023469210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SHANNON DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078999",
            "telephone_number": "503-380-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 CLEVELAND CIR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102378",
            "telephone_number": "219-769-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "CHRISTINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012520A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "GIRGIS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Watoris Mosley, TRANSPORTER
• Hayley E Moss
• Mohammed H Motawea, PT
• Hayden Marjorie Mott, M.S., CCC-SLP
• H Carl Moultrie II, MD
• Moving Forward LLC
• Jan Mueller, LSW
• Khalissa Muhammad, RBT
• Renee Lashawn Muhammad
• Nihad Muhrez, MD

• Dentist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.