Theodore Gabriel Muchiteni, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5566 Issued in NC

Practice address

2300 Hemby LN
Greenville, NC 27834-3775

Phone

(252) 830-0201

Fax

(252) 830-2052

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1366444085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343775",
            "telephone_number": "252-830-0201",
            "fax_number": "252-830-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343775",
            "telephone_number": "252-830-0201",
            "fax_number": "252-830-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHITENI",
        "first_name": "THEODORE",
        "middle_name": "GABRIEL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "5566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "69278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "523612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6996278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS",
            "identifier": "208734",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Moye, LPN
• Michele Lovick Moye, RPH
• Laura Isis Moyer, RCP
• Kelly Corinne Moynahan, MA, CAS, LPA
• Bridgette Mozingo
• Timothy A Mudge, CRNA
• Prashant Reddy Mudireddy, MD
• Sydnie Muessen, SLP
• Jacqueline Muhammad, MD
• Nyria Muhirwa, MD

• Oral and Maxillofacial Surgery (Dentist) in Greenville, NC
• Providers in Greenville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.