NPIMap

Organization Active NPI

Mouchantat Plastic Surgery PC

  • Plastic Surgery Physician
  • Parker, CO
National Provider Identifier
1194688937
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MOUCHANTAT PLASTIC SURGERY PC
Practice address
9399 Crown Crest Blvd
Parker, CO 80138-8506
Phone
(303) 232-8585
Fax
(720) 772-5770
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Dr. Richard Mouchantat, MD
Title
Owner
Phone
(303) 232-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

9399 Crown Crest Blvd
Parker, CO 80138-8506

Mailing address

3280 Wadsworth Blvd Ste 100
Wheat Ridge, CO 80033-4640

National Provider Directory

National Provider Directory
Tax ID family
Mouchantat Plastic Surgery PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1194688937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WADSWORTH BLVD STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 CROWN CREST BLVD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388506",
            "telephone_number": "303-232-8585",
            "fax_number": "720-772-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUCHANTAT PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "MOUCHANTAT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-232-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.