Mouchaham Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUCHAHAM DENTISTRY, LLC

Practice address

5790 E Main St Ste 110
Carmel, IN 46033-6200

Phone

(317) 844-2810

NPI assigned

Oct 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Mouchaham, DMDNPI 1841783958

Title

Owner/Dentist

Phone

(765) 729-2236

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Mouchaham, DMD

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1841783958
  NPD Authorized official
• Kurt Alan Rupenthal, DDS

  • General Practice Dentistry
  • Carmel, IN
  • NPI 1780785642
  NPD (past)

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1326860099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 KELLER TER",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338887",
            "telephone_number": "765-729-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 E MAIN ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460336200",
            "telephone_number": "317-844-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUCHAHAM DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "MOUCHAHAM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "765-729-2236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie G Moser, NP
• Makaela Mosolf
• Whitney Moss
• Anush Raghunandan Motaganahalli
• Anna Liza Motilla
• Nicholas Mouchaham, DMD
• Derek Duane Mounsey, DO, MHA
• Nico Mousdicas, MD
• Moving Forward DME
• Moving Mountains Physical Therapy & Performance LLC

• Dental Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; 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.