Nermeen Mohamed Moussa, BDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021.002386 Issued in IL

Practice address

1610 W Fullerton Ave
Chicago, IL 60614-2659

Phone

(312) 912-3550

NPI assigned

Aug 14, 2007

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• N.M.M. Dental, LTD

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1376348532
  NPD Authorized official

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1093907024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S INDIANA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161302",
            "telephone_number": "312-912-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142659",
            "telephone_number": "312-912-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5342 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60605",
            "country_code": "US",
            "telephone_number": "352-273-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSA",
        "first_name": "NERMEEN",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "BDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021.002386",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusra Moursy
• Peter Hanna Halim Mousa, MD
• Barbara Lynn Mousel, DDS
• Thomas Michael Moushey
• Obadah Moushmoush, MD
• Sonia Wadie Moussa, DDS
• Taha Moussa, MD
• Therese Ramez Moussa, D.D.S.
• Elias Moussi Saad, MD
• Sharrone Eliza Moustakis, PT, DPT

• Endodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.