Individual provider Active NPI

Monika Ducharme, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Deerfield Beach, FL
National Provider Identifier
1114424207
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN23826 Issued in FL
Practice address
1800 W Hillsboro Blvd Ste 210
Deerfield Beach, FL 33442-1484
Phone
(559) 679-2044
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23826 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN23826 FL Primary

Addresses

Primary practice location

1800 W Hillsboro Blvd Ste 210
Deerfield Beach, FL 33442-1484

Mailing address

1800 W Hillsboro Blvd Ste 210
Deerfield Beach, FL 33442-1484
Phone (561) 868-6618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617001914 FL Practitioner - Maxillofacial Surgery 8426591645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23826FLMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ducharme Holdings,LLC Oral and Maxillofacial Surgery Current Accepting new patients

Locations

603 Village Blvd
Ste 304
West Palm Beach, FL 33409
Phone (561) 833-2364

Interoperability endpoints

  • Direct secure messaging: mducharme19704@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1114424207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W HILLSBORO BLVD STE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421484",
            "telephone_number": "561-868-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HILLSBORO BLVD STE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421484",
            "telephone_number": "559-679-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "MONIKA",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23826",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.